| NPI | 1114916384 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-10-19 |
| Last Updated | 2008-10-10 |
| Mailing Address | Po Box 43100 Tucson, AZ 85733-3100 United States Phone: (520) 722-3777 | Fax: (520) 296-6224 📍 View Map |
| Primary Practice Address | 6200 N La Cholla Blvd Tucson, AZ 85741-3529 United States Phone: (520) 469-8011 | Fax: (520) 469-8021 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | AZ | 724288 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | AZ | 29936 |
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About NPI 1114916384
Brian A Mayernick MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114916384. The primary specialty listed is Internal Medicine. The provider is located in Tucson, AZ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114916384?
NPI 1114916384 belongs to Brian A Mayernick MD, a Internal Medicine in Tucson, AZ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114916384 active?
The current status of NPI 1114916384 in the NPPES registry is Active. The record was last updated on 2008-10-10.
What specialty is NPI 1114916384?
NPI 1114916384 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114916384?
You can verify NPI 1114916384 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114916384?
The primary practice address on file for NPI 1114916384 is 6200 N La Cholla Blvd, Tucson, AZ 85741-3529. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114916384 issued?
NPI 1114916384 was first issued (enumerated) on 2005-10-19. The NPPES record was last updated on 2008-10-10.
Practice Location Map
Brian A Mayernick is located at 6200 N La Cholla Blvd, Tucson, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Brian A Mayernick. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1114916384. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 29936 | AZ |