Basic Information
Provider Information
NPI: 1134569973
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DISILVIO
FirstName: BRIANA
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1307 FEDERAL ST
Address2: SUITE B300
City: PITTSBURGH
State: PA
PostalCode: 152124769
CountryCode: US
TelephoneNumber: 4123593751
FaxNumber: 4123598439
Practice Location
Address1: 320 E NORTH AVE
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152124756
CountryCode: US
TelephoneNumber: 4122676810
FaxNumber: 4122676817
Other Information
ProviderEnumerationDate: 06/25/2013
LastUpdateDate: 10/15/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/15/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD458565PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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