Provider Demographics
NPI:1851525000
Name:SCHWAB, BRIAN RICHARD (DO)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:RICHARD
Last Name:SCHWAB
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:990 HIGBEE DR STE B104
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-2989
Mailing Address - Country:US
Mailing Address - Phone:412-854-7924
Mailing Address - Fax:412-854-7926
Practice Address - Street 1:990 HIGBEE DR STE B104
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-2989
Practice Address - Country:US
Practice Address - Phone:412-854-7924
Practice Address - Fax:412-854-7926
Is Sole Proprietor?:No
Enumeration Date:2009-05-02
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS016102207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103050644Medicaid