Gross, Brian
Gross, Brian is an individual health care provider with primary practice located at 1801 E 54Th St Ste 100, Davenport IA 52807-7209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Gross, Brian can be contacted via phone (563) 323-1229.Contact Information
Primary practice address
1801 E 54Th St Ste 100
Davenport IA 52807-7209
Phone: (563) 323-1229
Fax: (563) 323-8240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036104197 | Illinois |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 33887 | Iowa |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 33887 | Iowa |
Profile Details
| NPI number | 1740255348 |
|---|---|
| LBN Legal business name | Gross, Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Apr 26th, 2021 - about 4 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740255348 | NPPES |
| Iowa | MEDICAID | 0024253 | |
| Iowa | Other | 290013650 | |
| Iowa | Other | 290013404 |
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