Brian Walter Harris, PHD MD

Individual provider Active NPI Diagnostic Radiology Physician · Lewisberry, PA

NPI 1215923917 · NPPES record last updated Jan 18, 2012

Key facts

NPI
1215923917
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
MD028520E (PA)
Practice address
629D Lowther Rd
Lewisberry, PA 17339-9527
Phone
(717) 932-5200
Fax
(717) 932-3095
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Diagnostics LLC Past Accepting new patients
Alpha Diagnostics LLC Diagnostic Radiology Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD028520E PA Yes

Addresses

Primary practice location

629D Lowther Rd
Lewisberry, PA 17339-9527

Mailing address

629D Lowther Rd
Lewisberry, PA 17339-9527
Phone (717) 932-5200

Other identifiers

IdentifierTypeStateIssuer
001047594MedicaidPA

Other providers in Lewisberry, PA

All providers in Lewisberry, PA · Diagnostic Radiology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.