Brian J Kosiak, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36333 Issued in MN

Practice address

2809 E Hamilton Ave # 107
Eau Claire, WI 54701-6863

Phone

(715) 834-1555

Fax

(715) 835-2063

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1336150259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 E HAMILTON AVE # 107",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016863",
            "telephone_number": "715-834-1555",
            "fax_number": "715-835-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 E HAMILTON AVE # 107",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016863",
            "telephone_number": "715-834-1555",
            "fax_number": "715-835-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIAK",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "36333",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "46560-20",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "27582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Koranda
• Jessica Ann Korger, CNM
• Samantha Jo Korn, LPC-IT
• Divya Korpu, MBBS
• Maddie Kortes, MS
• Matthew James Koski
• Michelle A Koski, MS LPC
• Christopher Kotsis, MD
• Evan C Koubsky, DDS
• Tara L Kovacevich, APNP

• Internal Medicine Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.