Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN MICHAEL SULLIVAN, MD
ActiveDR. BRIAN MICHAEL SULLIVAN, MD is a Family Medicine healthcare provider located in BAKER, Montana. NPI 1972761252 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BAKER, MT
Registration Details
- NPI Number
- 1972761252
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2008 (18.221094885311 yrs)
- Last Updated
- Jan 25, 2021
- License
-
49845 (MT)
Practice Information
- Address
-
202 S 4TH ST WBAKER, MT, 593139156Browse MT providers · Browse ZIP 59313
- Phone
- 4067782833
- Fax
- 4067785355
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.