Brigham, Gary R.

Brigham, Gary R. is an individual health care provider with primary practice located at 1009 Foy Ct , Crown Point IN 46307-9821. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Brigham, Gary R. can be contacted via phone (219) 662-2962.

Contact Information

Primary practice address
1009 Foy Ct Crown Point IN 46307-9821
Phone: (219) 662-2962
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 01041362 Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01041362A Indiana

Profile Details

NPI number 1972500999
LBN Legal business name Brigham, Gary R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jul 15th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972500999 NPPES
Indiana MEDICAID 200127970A

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