Brian H. Graham MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BRIAN H. GRAHAM MD INC

Practice address

6455 La Jolla Blvd
#315
La Jolla, CA 92037-6627

Phone

(619) 665-2159

Fax

(858) 836-1159

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Brian H Graham, M.D.

Title

President

Phone

(619) 665-2159

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1437538725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 LA JOLLA BLVD",
            "address_2": "#315",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376627",
            "telephone_number": "619-665-2159",
            "fax_number": "858-836-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 LA JOLLA BLVD",
            "address_2": "#315",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376627",
            "telephone_number": "619-665-2159",
            "fax_number": "858-836-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN H. GRAHAM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-665-2159",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E90629",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Brenneman, R.N.
• Scot A Brewster, MD
• Dalia Breziner, MD, MBA
• Jaime J Breziner, DDS
• Yael Breziner, DDS
• Charles W Briscoe, DDS
• Brittany J. Noris DDS, Inc
• David E Brockett, DDS
• Jeffrey Eastman Brockett, DDS
• Megan Broderick, MFT

• General Practice Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.