Provider Demographics
NPI:1659393825
Name:MORRIS, BRIAN F (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:F
Last Name:MORRIS
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 1:14542 COPPER SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46040-1471
Mailing Address - Country:US
Mailing Address - Phone:765-831-2225
Mailing Address - Fax:
Practice Address - Street 1:325 W 38TH ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46013-4017
Practice Address - Country:US
Practice Address - Phone:765-831-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01056468207Q00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200528140Medicaid
INP00282918Medicare PIN
IN200528140Medicaid
IN220170DDMedicare PIN