Provider Demographics
NPI:1417191883
Name:HALL, BRIAN MCDONALD (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:MCDONALD
Last Name:HALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 AVENUE X
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2910
Mailing Address - Country:US
Mailing Address - Phone:718-257-0200
Mailing Address - Fax:718-257-0211
Practice Address - Street 1:2101 AVENUE X
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2910
Practice Address - Country:US
Practice Address - Phone:718-257-0200
Practice Address - Fax:718-257-0211
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY256148208600000X, 2086S0127X
PAMD4586722086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery