Provider Demographics
NPI:1497780076
Name:MURRAY, BRIAN M (MD , FACP)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:M
Last Name:MURRAY
Suffix:
Gender:M
Credentials:MD , FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 GRIDER ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-3021
Mailing Address - Country:US
Mailing Address - Phone:716-898-4803
Mailing Address - Fax:
Practice Address - Street 1:462 GRIDER ST
Practice Address - Street 2:RENAL DIVISION
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3021
Practice Address - Country:US
Practice Address - Phone:716-898-4803
Practice Address - Fax:716-898-3928
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163923207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00929162Medicaid
NY005008321OtherHEALTH NOW
NY2507610OtherINDEPENDENT HEALTH
NY00010123602OtherEXCELLUS UNIVERA
NY2507610OtherINDEPENDENT HEALTH
NY00010123602OtherEXCELLUS UNIVERA
NYC86601Medicare ID - Type Unspecified