Provider Demographics
NPI:1447137849
Name:EAMES, BRIAN JOHN
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:JOHN
Last Name:EAMES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 TEAK LN
Mailing Address - Street 2:
Mailing Address - City:DINGMANS FERRY
Mailing Address - State:PA
Mailing Address - Zip Code:18328-9591
Mailing Address - Country:US
Mailing Address - Phone:845-494-1855
Mailing Address - Fax:
Practice Address - Street 1:100 TEAK LN
Practice Address - Street 2:
Practice Address - City:DINGMANS FERRY
Practice Address - State:PA
Practice Address - Zip Code:18328-9591
Practice Address - Country:US
Practice Address - Phone:845-494-1855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant