Brian Luis Jimenez, M.D.

Individual provider Active NPI Aerospace Medicine Physician · Fort Novosel, AL

NPI 1497310494 · NPPES record last updated Jul 20, 2026

Key facts

NPI
1497310494
Entity type
Individual (NPI type 1)
Primary specialty
Aerospace Medicine Physician 2083A0100X
License
34997 (NE)
Practice address
301 Andrews Ave
Fort Novosel, AL 36362
Phone
(800) 261-7193
NPI assigned
May 6, 2019
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34997NEMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 34997 NE Yes

Addresses

Primary practice location

301 Andrews Ave
Fort Novosel, AL 36362

Mailing address

301 Andrews Ave
Fort Rucker, AL 36362

Other providers in Fort Novosel, AL

All providers in Fort Novosel, AL · Aerospace Medicine Physician in Alabama

Sources for this page

Verify at the official NPI Registry.