Provider Demographics
NPI:1841210713
Name:MATHEWS, BRIAN NICHOLSON (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:NICHOLSON
Last Name:MATHEWS
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:PO BOX 18428
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-8428
Mailing Address - Country:US
Mailing Address - Phone:256-705-4224
Mailing Address - Fax:256-705-4135
Practice Address - Street 1:3601 CCI DR NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-2606
Practice Address - Country:US
Practice Address - Phone:256-705-4224
Practice Address - Fax:256-705-4135
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00024285207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009912681Medicaid
ALP00637786OtherRR MEDICARE NUMBER
AL510-50070OtherBCBS OF ALABAMA
ALCA0084OtherRR MEDICARE
AL009912720Medicaid
AL528701110Medicaid
51536545OtherBLUE CROSS OF ALABAMA
AL51545053OtherBCBS OF ALABAMA
AL009940536Medicaid
AL51545055OtherBCBS OF ALABAMA
AL009912720Medicaid
AL51545053OtherBCBS OF ALABAMA
AL009912681Medicaid