Provider Demographics
NPI:1851540769
Name:EPP, BRIAN MCCARTHY (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:MCCARTHY
Last Name:EPP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 N MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-2373
Mailing Address - Country:US
Mailing Address - Phone:717-695-3540
Mailing Address - Fax:717-307-3514
Practice Address - Street 1:701 N MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-2373
Practice Address - Country:US
Practice Address - Phone:717-695-3540
Practice Address - Fax:717-307-3514
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4836111NS0005X, 171100000X
PADC009843111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAAJ009656OtherADJUNCTIVE PROCEDURE LICENSE
PADC009843OtherPENNSYLVANIA LICENSE