Provider Demographics
NPI:1295416386
Name:BRIONES, BRIAN XAVIER FLORENTINO (DPT)
Entity type:Individual
Prefix:
First Name:BRIAN XAVIER
Middle Name:FLORENTINO
Last Name:BRIONES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 HARBOR PARKWAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94502
Mailing Address - Country:US
Mailing Address - Phone:650-862-8540
Mailing Address - Fax:
Practice Address - Street 1:1151 HARBOR BAY PKWY STE 201
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94502-6533
Practice Address - Country:US
Practice Address - Phone:510-373-2799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA301447225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist