Individual provider Active NPI

Briana L McFawn, M.D.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1417954603
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35081157M Issued in OH
Practice address
4421 Eastgate Blvd
Ste 300
Cincinnati, OH 45245-4500
Phone
(513) 752-8000
Fax
(513) 752-1078
NPI assigned
Jul 1, 2005
Last updated
Aug 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35081157M OH Primary

Addresses

Primary practice location

4421 Eastgate Blvd
Ste 300
Cincinnati, OH 45245-4500

Mailing address

4421 Eastgate Blvd
Ste 300
Cincinnati, OH 45245-4500
Phone (513) 752-8000

Other identifiers 2

IdentifierTypeStateIssuer
2333255MedicaidOH
1205887023OtherGROUP NPI

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35081157MOHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1417954603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 EASTGATE BLVD",
            "address_2": "STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452454500",
            "telephone_number": "513-752-8000",
            "fax_number": "513-752-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 EASTGATE BLVD",
            "address_2": "STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452454500",
            "telephone_number": "513-752-8000",
            "fax_number": "513-752-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFAWN",
        "first_name": "BRIANA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35081157M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2333255",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1205887023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.