Provider Demographics
NPI:1740232438
Name:JAMES, BRIAN CHIVAS (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:CHIVAS
Last Name:JAMES
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 1:3920 BEE RIDGE RD STE B
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1207
Mailing Address - Country:US
Mailing Address - Phone:941-661-0515
Mailing Address - Fax:941-220-6599
Practice Address - Street 1:3920 BEE RIDGE RD STE B
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1207
Practice Address - Country:US
Practice Address - Phone:941-661-0515
Practice Address - Fax:941-220-6599
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68542208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL27140YMedicare PIN
FLF20302Medicare UPIN