Provider Demographics
NPI:1497160014
Name:BREI, BRIANNA KATHERINE (MD)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:KATHERINE
Last Name:BREI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST
Mailing Address - Street 2:BOX 356320
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6320
Mailing Address - Country:US
Mailing Address - Phone:402-980-2803
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST BOX 356320
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-3276
Practice Address - Country:US
Practice Address - Phone:402-980-2803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-065620208000000X
WA60752909208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics