Provider Demographics
NPI:1467525915
Name:MORRISON, BRIAN P (DC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:P
Last Name:MORRISON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 N RIDGE RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-3464
Mailing Address - Country:US
Mailing Address - Phone:410-465-0555
Mailing Address - Fax:410-465-9271
Practice Address - Street 1:2850 N RIDGE RD
Practice Address - Street 2:SUITE 107
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-3464
Practice Address - Country:US
Practice Address - Phone:410-465-0555
Practice Address - Fax:410-465-9271
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSO1377111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2140001OtherBLUE CROSS BLUE SHIELD
MD39204OtherALLIANCE
MD2560860OtherAETNA
MD39204OtherMAMSI
MD521855082OtherUNITED HEALTH CARE
MD2140001OtherBLUE CROSS BLUE SHIELD