Brian J. Marien MD LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD073237L Issued in PA

Legal business name

BRIAN J. MARIEN MD LLC

Practice address

540 Pierce St
Kingston, PA 18704-5751

Phone

(570) 714-2720

Fax

(570) 714-2721

NPI assigned

Apr 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brian J Marien, MDNPI 1306894415

Title

Owner

Phone

(570) 714-2720

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian J Marien, MD

  • Vascular Surgery Physician
  • Kingston, PA
  • NPI 1306894415

  PA, Vascular Surgery

  Medicare reassignment NPD Authorized official
• Patrick D Conaboy, MD

  • Family Medicine Physician
  • Scranton, PA
  • NPI 1942289772
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487912804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045751",
            "telephone_number": "570-714-2720",
            "fax_number": "570-714-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045751",
            "telephone_number": "570-714-2720",
            "fax_number": "570-714-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J. MARIEN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARIEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-714-2720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD073237L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fereshteh Boozarjomehri, MD
• Elizabeth Anne Bordy, PA-C
• Brand Dental
• Stephen Brand, DMD
• Louise Breakstone, M.D.
• Bright Achievements of PA LLC
• Lydia Brill, PSY.D.
• Esther Brook
• Fredric S Brown, M.D.
• Jerard W Brown, OD

• All providers in Kingston, PA
• Vascular Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.