Provider Demographics
NPI:1669663829
Name:DONALDSON, BRIANA CORAL (DO)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:CORAL
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7527
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-0727
Mailing Address - Country:US
Mailing Address - Phone:614-533-6497
Mailing Address - Fax:614-544-1981
Practice Address - Street 1:815 W BROAD ST
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1464
Practice Address - Country:US
Practice Address - Phone:614-234-9822
Practice Address - Fax:614-234-4272
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34.011468207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0109930Medicaid
OH0109930Medicaid
INM400021135Medicare PIN