Provider Demographics
NPI:1871708511
Name:BILLINGS, BRIAN SCOTT (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:SCOTT
Last Name:BILLINGS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 E WILLIAMS FIELD RD
Mailing Address - Street 2:SUITE #110
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-5233
Mailing Address - Country:US
Mailing Address - Phone:480-831-1100
Mailing Address - Fax:480-302-5803
Practice Address - Street 1:139 E WILLIAMS FIELD RD
Practice Address - Street 2:SUITE #110
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-5233
Practice Address - Country:US
Practice Address - Phone:480-831-1100
Practice Address - Fax:480-302-5803
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor