Provider Demographics
NPI:1831655588
Name:OPPERMAN, BRIANNA (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:
Last Name:OPPERMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:WEST NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-2017
Mailing Address - Country:US
Mailing Address - Phone:617-340-2189
Mailing Address - Fax:
Practice Address - Street 1:437 CHERRY ST
Practice Address - Street 2:
Practice Address - City:WEST NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-2017
Practice Address - Country:US
Practice Address - Phone:617-340-2189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3647111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor