Basic Information
| Provider Information | |||||||||
| NPI: | 1063490944 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | BRIAN | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2118 SPRING VALLEY RD | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176012427 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175440150 | ||||||||
| FaxNumber: | 7175440151 | ||||||||
| Practice Location | |||||||||
| Address1: | 2118 SPRING VALLEY RD | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176012427 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175440150 | ||||||||
| FaxNumber: | 7175440151 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/02/2006 | ||||||||
| LastUpdateDate: | 08/31/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD050909L | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | P006775 | 01 | PA | GATEWAY HEALTH PLAN | OTHER | 001658812 | 05 | PA | MEDICAID | 3401035 | 01 | PA | AETNA HMO | OTHER | 7134517 | 01 | PA | AETNA NON-HMO | OTHER | 34712 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 40539 S1QK | 01 | PA | GEISINGER HEALTH PLAN | OTHER | G61480 | 01 | PA | HEALTH ASSURANCE | OTHER | 080110047 | 01 | PA | RAILROAD MEDICARE | OTHER | 50053139 | 01 | PA | CAPITAL BLUE CROSS | OTHER |