Provider Demographics
NPI:1881646651
Name:FOSTER, BRIAN J (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:J
Last Name:FOSTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8220 MEADOWBRIDGE RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-2336
Mailing Address - Country:US
Mailing Address - Phone:804-764-1253
Mailing Address - Fax:804-764-1259
Practice Address - Street 1:8220 MEADOWBRIDGE RD
Practice Address - Street 2:SUITE 203
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2336
Practice Address - Country:US
Practice Address - Phone:804-764-1253
Practice Address - Fax:804-764-1259
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2011-03-21
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Provider Licenses
StateLicense IDTaxonomies
VA0101235828207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7180521OtherAETNA LIFE
VA7180521OtherAETNA HMO
VA010077095Medicaid
VA0498864OtherCIGNA
VA2125494OtherMAMSI
VA245520OtherSOUTHERN HEALTH SERVICES
VAC06115OtherGROUP PTAN
VA78575OtherSENTARA
VA138749OtherANTHEM BCBS OF VA
VAP00151735OtherRAILROAD MEDICARE
VAI09092Medicare UPIN