Provider Demographics
NPI:1487836581
Name:OSTER, BRIANA (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIANA
Middle Name:
Last Name:OSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BRIANA
Other - Middle Name:
Other - Last Name:MYRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13022 TAMARAC PL
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-8431
Mailing Address - Country:US
Mailing Address - Phone:970-389-1261
Mailing Address - Fax:
Practice Address - Street 1:1338 PHAY AVE
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212-2311
Practice Address - Country:US
Practice Address - Phone:719-285-2647
Practice Address - Fax:719-285-2092
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAGETP.TUL.PD390200000X
CO48377208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program