Provider Demographics
NPI:1174528970
Name:MORAN, BRION P (MD)
Entity type:Individual
Prefix:DR
First Name:BRION
Middle Name:P
Last Name:MORAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3650 MUDDY CREEK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-2057
Mailing Address - Country:US
Mailing Address - Phone:513-451-0500
Mailing Address - Fax:513-451-0210
Practice Address - Street 1:3301 MERCY HEALTH BLVD
Practice Address - Street 2:SUITE 450
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-1105
Practice Address - Country:US
Practice Address - Phone:513-981-6784
Practice Address - Fax:513-215-9397
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2015-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35-081018207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3130098Medicaid
H58801Medicare UPIN
OH3130098Medicaid