NPI 1194712364 · live from the CMS NPI Registry
Brian W Gross, M.D.
Internal Medicine, Interventional Cardiology in Medford, OR. National Provider Identifier 1194712364, active.
NPI record
| NPI | 1194712364 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Interventional Cardiology 207RI0011X |
| Practice location | 520 Medical Center Dr, Ste 200, Medford, OR 97504 |
| Practice phone | 541-282-6600 |
| Enumerated | October 4, 2005 |
| Last updated | January 6, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 13048 (OR) |
| Internal Medicine, Interventional Cardiology primary | 207RI0011X | MD1348 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.