National Provider Identifier

Brian Madow, MD

Brian Madow, MD is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Buffalo, NY and a listed phone number of (716) 881-7900.

NPI 1225187271Buffalo, NYOphthalmology Physician

Profile Overview

NPI
1225187271
Provider Type
Individual
Primary Specialty
Ophthalmology Physician
Enumeration Date
January 09, 2007
Last Updated
March 22, 2022

Practice Location

  • 1176 Main St
  • Buffalo, NY 14209-2102

Phone: (716) 881-7900

Specialties

  • Ophthalmology Physician (207W00000X)
  • Ophthalmology Physician (207W00000X)
Full Record
NPI
1225187271
Entity Type
Individual
Last Name
Madow
First Name
Brian
Credential
MD
Provider Other Last Name
Madjarov
Provider Other First Name
Bojidar
Provider Other Credential Text
M.D.
Provider Other Last Name Type Code
1
Mailing Street Address
1176 Main St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14209-2102
Mailing Country
US
Mailing Phone
(716) 881-7900
Mailing Fax
(716) 881-4349
Practice Street Address
1176 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-2102
Practice Country
US
Practice Phone
(716) 881-7900
Practice Fax
(716) 881-4349
Enumeration Date
January 09, 2007
Last Updated
March 22, 2022
Sex
Male
Sole Proprietor
No
Certification Date
March 22, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Ophthalmology Physician (207W00000X), Ophthalmology Physician (207W00000X)
Other Identifiers
06463721 (NY), 53733 (FL, Blue Cross Blue Shield), 000388000 (FL)