Provider Demographics
NPI:1821064916
Name:REED, BRIAN HADLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:HADLEY
Last Name:REED
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 1:121 CANTERBURY HILL ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-5421
Mailing Address - Country:US
Mailing Address - Phone:210-930-6815
Mailing Address - Fax:
Practice Address - Street 1:2601 LOUIS BAUER DR
Practice Address - Street 2:
Practice Address - City:BROOKS CITY-BASE
Practice Address - State:TX
Practice Address - Zip Code:78235-5130
Practice Address - Country:US
Practice Address - Phone:210-536-3174
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF99982083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine