Provider Demographics
NPI:1497930127
Name:CROSS, BRIAN J (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:J
Last Name:CROSS
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 1:114 BRADY CIR E
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1469
Mailing Address - Country:US
Mailing Address - Phone:740-284-5522
Mailing Address - Fax:740-284-5523
Practice Address - Street 1:114 BRADY CIR E
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1469
Practice Address - Country:US
Practice Address - Phone:740-284-5522
Practice Address - Fax:740-284-5523
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD445683207RC0001X
WV02406207RC0001X
OH35. 120026207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology