Provider Demographics
NPI:1356434195
Name:BRIEN, JAMES BUTLER III (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BUTLER
Last Name:BRIEN
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:225 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 405
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-7914
Mailing Address - Country:US
Mailing Address - Phone:270-441-4750
Mailing Address - Fax:270-441-4770
Practice Address - Street 1:225 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 405
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-7914
Practice Address - Country:US
Practice Address - Phone:270-441-4750
Practice Address - Fax:270-441-4770
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2012-08-03
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Provider Licenses
StateLicense IDTaxonomies
KY38115207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00272810OtherRAILROAD MEDICARE
KY64085012Medicaid
000000361158OtherBCBS
000000361158OtherBCBS
I12081Medicare UPIN