NPI 1063402287 · live from the CMS NPI Registry
Edwin Thomas Brott, MD
Anesthesiology in Ashland, KY. National Provider Identifier 1063402287, active.
NPI record
| NPI | 1063402287 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 2204 Lexington Avenue, Ashland, KY 41101 |
| Practice phone | 513-300-0149 |
| Mailing address | 2208 South Rd, Cincinnati, OH 45233 |
| Enumerated | October 27, 2005 |
| Last updated | January 26, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 31144 (KY) |
| Anesthesiology | 207L00000X | 62695 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.