Provider Demographics
NPI:1487670246
Name:NEGRINI, BRYAN P (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:P
Last Name:NEGRINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2360 HOSPITAL DRIVE LOWER LEVEL
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-2160
Mailing Address - Country:US
Mailing Address - Phone:724-912-6277
Mailing Address - Fax:724-252-3224
Practice Address - Street 1:2360 HOSPITAL DRIVE LOWER LEVEL
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-2160
Practice Address - Country:US
Practice Address - Phone:724-912-6277
Practice Address - Fax:724-252-3224
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056332L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016073210004Medicaid
PA0016073210004Medicaid
PA884124Medicare PIN