Provider Demographics
NPI:1336705789
Name:ALBERS, BRIANNA (DPM)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:ALBERS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:
Other - Last Name:HENSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3516 BURCH AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-1316
Mailing Address - Country:US
Mailing Address - Phone:765-639-6559
Mailing Address - Fax:
Practice Address - Street 1:4777 E GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2814
Practice Address - Country:US
Practice Address - Phone:513-686-5716
Practice Address - Fax:513-686-3154
Is Sole Proprietor?:No
Enumeration Date:2019-05-11
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH59.000778213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery