Provider Demographics
NPI:1629025895
Name:SABOWITZ, BRIAN N (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:N
Last Name:SABOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5120 S FELTS LN
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-8203
Mailing Address - Country:US
Mailing Address - Phone:210-865-9290
Mailing Address - Fax:
Practice Address - Street 1:5120 S FELTS LN
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-8203
Practice Address - Country:US
Practice Address - Phone:210-865-9290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM-13587207R00000X
WAMD60511550207R00000X, 207RB0002X
TXN4055207R00000X
ORMD210033207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAX0762OtherHEALTHNET
AZ422923OtherAHCCCS
AZAZ0852920OtherBLUECROSS BLUESHIELD
AZ110197794OtherMEDICARE RAILROAD
AZAX0762OtherHEALTHNET
AZ78211Medicare PIN