Provider Demographics
NPI:1659576015
Name:JOSEPHS, BRIAN C (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:C
Last Name:JOSEPHS
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 1:4604 SPOTSYLVANIA PARKWAY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-7763
Mailing Address - Country:US
Mailing Address - Phone:540-710-1700
Mailing Address - Fax:
Practice Address - Street 1:4604 SPOTSYLVANIA PKWY
Practice Address - Street 2:SUITE 310
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-7763
Practice Address - Country:US
Practice Address - Phone:540-710-1700
Practice Address - Fax:540-710-1800
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101245555207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1659576015Medicaid
VA6208709OtherAETNA HMO
VA9187351OtherAETNA PPO
VA1659576015Medicare PIN