Provider Demographics
NPI:1265424824
Name:BRITT, DAVID BRIAN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BRIAN
Last Name:BRITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 E LIBERTY ST STE 800
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1428
Mailing Address - Country:US
Mailing Address - Phone:502-585-1200
Mailing Address - Fax:502-585-1207
Practice Address - Street 1:225 ABRAHAM FLEXNER WAY
Practice Address - Street 2:SUITE 304
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1846
Practice Address - Country:US
Practice Address - Phone:502-585-1200
Practice Address - Fax:502-585-1207
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY25176207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY110170686OtherRAILROAD MEDICARE
KY64251762Medicaid
KY200110020AOtherINDIANA MEDICAID NUMBER
KY1049362OtherPASSPORT
KY000000051842OtherANTHEM
IN228550008Medicare PIN
KYE12086Medicare UPIN
KY200110020AOtherINDIANA MEDICAID NUMBER
KY1049362OtherPASSPORT
KY0523503Medicare ID - Type Unspecified