Provider Demographics
NPI:1942712021
Name:GROSS, BRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:
Last Name:GROSS
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 1:215 BUFORD STREET
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:PA
Mailing Address - Zip Code:15640
Mailing Address - Country:US
Mailing Address - Phone:412-551-2522
Mailing Address - Fax:
Practice Address - Street 1:100 FOSTER AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-2317
Practice Address - Country:US
Practice Address - Phone:412-922-5570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2023-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011272111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor