Provider Demographics
NPI:1205897147
Name:TREMAINE, BRIAN NATHAN (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:NATHAN
Last Name:TREMAINE
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:5730 EXECUTIVE DR STE 230
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1762
Mailing Address - Country:US
Mailing Address - Phone:281-249-7100
Mailing Address - Fax:281-249-7365
Practice Address - Street 1:14703 EAGLE VISTA DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5394
Practice Address - Country:US
Practice Address - Phone:281-249-7100
Practice Address - Fax:281-249-7365
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK7925207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX141277703Medicaid
TXK7925OtherSTATE MEDICAL LICENSE
TXTXB139192Medicare PIN