Provider Demographics
NPI:1669565941
Name:HESS, BRIAN HOYT (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:HOYT
Last Name:HESS
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 1:214 W ROOSEVELT ST
Mailing Address - Street 2:#201C
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85003-1496
Mailing Address - Country:US
Mailing Address - Phone:623-202-5528
Mailing Address - Fax:
Practice Address - Street 1:214 W ROOSEVELT ST
Practice Address - Street 2:#201C
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-1496
Practice Address - Country:US
Practice Address - Phone:623-202-5528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-01
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ35640207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ113155Medicare PIN
AZI68863Medicare UPIN