Brian Louis Samuels, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

M8989 Issued in ID

Practice address

980 W Ironwood Dr Ste 207
Coeur D Alene, ID 83814-2668

Phone

(208) 755-2804

Fax

(208) 765-0277

NPI assigned

Jul 5, 2006

Last updated

Mar 19, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Brian L Samuels MD PLLC

  • Hematology & Oncology Physician
  • Coeur d'Alene, ID
  • NPI 1720202724
  NPD (past) Authorized official
• Beacon Cancer Care PLLC

  • Specialty Pharmacy
  • Coeur d'Alene, ID
  • NPI 1437973674
  NPD
• Michael Kos MD, PS

  dba Brachy Radiation Specialists

  • Radiation Oncology Physician
  • Lewiston, ID
  • NPI 1528735917
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1396776027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 W IRONWOOD DR STE 207",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142668",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 W IRONWOOD DR STE 207",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142668",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "BRIAN",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ID",
            "license": "M8989",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD60316942",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "ID",
            "license": "M-8989",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806822500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda M Sakai, MD
• Kaeleigh Salian
• William Harry Sammond, MD
• Mickayla Sampilo
• Steven Sample, LMSW
• Brandi Marie Sanchez, LMSW
• Theodore Sandberg, PHARMD
• Ellison Renee Sanders, PT
• Shelly D Sanders, LCSW
• Mary A Sanderson, MD

• Hematology & Oncology Physician in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Hematology & Oncology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.