Provider Demographics
NPI:1730297649
Name:POSNANSKY, BRIAN ERIC (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:ERIC
Last Name:POSNANSKY
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 1:13328 SHELBYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-3936
Mailing Address - Country:US
Mailing Address - Phone:502-254-2223
Mailing Address - Fax:502-254-2525
Practice Address - Street 1:13328 SHELBYVILLE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-3936
Practice Address - Country:US
Practice Address - Phone:502-254-2223
Practice Address - Fax:502-254-2525
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY39818208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200906140Medicaid
KY64121064Medicaid
KY64121064Medicaid