NPI 1124054101 · live from the CMS NPI Registry
Brian R Ott, MD
Psychiatry & Neurology, Neurology in Providence, RI. National Provider Identifier 1124054101, active.
NPI record
| NPI | 1124054101 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 593 Eddy St, Apc 6, Providence, RI 02903 |
| Practice phone | 401-444-4000 |
| Mailing address | 1 Hoppin St, Suite 318, Providence, RI 02903 |
| Enumerated | June 23, 2006 |
| Last updated | March 3, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | MD05819 (RI) |
| Internal Medicine, Geriatric Medicine | 207RG0300X | MD05819 (RI) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | MD05819 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.