Provider Demographics
NPI:1912984592
Name:DOWNEY, BRIAN C (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:C
Last Name:DOWNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2038
Mailing Address - Country:US
Mailing Address - Phone:508-368-3130
Mailing Address - Fax:508-368-3133
Practice Address - Street 1:123 SUMMER ST.
Practice Address - Street 2:SUITE 290 N
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1312
Practice Address - Country:US
Practice Address - Phone:508-368-3130
Practice Address - Fax:508-368-3133
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA209725207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
8898428OtherCIGNA HEALTH PLAN
042472266OtherTRICARE/CHAMPUS
1081056OtherAETNA/ US HEALTHCARE
2028017OtherFIRST HEALTH
87319OtherCHILDRENS MEDICAL SECURIT
J23785OtherBLUE CARE ELECT
209725OtherTUFTS HEALTH PLAN
87319OtherHEALTHY START
AA33834OtherHARVARD PILGRIM HEALTHCAR
0142476OtherMEDICAID/WELFARE
042472266OtherONE HEALTH PLAN
042472266OtherUNITED HEALTHCARE
92598OtherFALLON COMMUNITY HEALTH P
A32712OtherMEDICARE B
MA0142476Medicaid
042472266OtherPRIVATE HEALTHCARE SYSTEM
789680OtherMVP HEALTH CARE
MAA32712Medicare ID - Type Unspecified
MA0142476Medicaid