Active NPIIndividual providerSole proprietor

Dr. Brian Mikolasko, MD MBA MS

Internal Medicine in Johnston, Rhode Island

NPI Number1346669512
Practice location
2109 Hartford Ave, Johnston, RI 02919-3246
Fax
626-380-2395
Last updated
August 14, 2025

Brian Mikolasko is an Internal Medicine based in Johnston, RI. Brian Mikolasko practices in Johnston, RI and has the professional credentials of MD MBA MS. The NPI Number for Brian Mikolasko is 1346669512 and holds a License No. 463951 (PA). The current practice location address for Brian Mikolasko is 2109 Hartford Ave, Johnston, RI 02919-3246 and can be reached out via phone at 626-319-5932 and via fax at 626-380-2395.

Provider Profile Details

NPI Number
1346669512
Provider Name
Brian Mikolasko
Credential
MD MBA MS
Provider Entity Type
Individual
Gender
Male
Address
2109 Hartford Ave, Johnston, RI 02919-3246
Phone Number
626-319-5932
Fax Number
626-380-2395
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 15, 2014
Last Update Date
August 14, 2025
Certification Date
August 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2109 Hartford Ave
Johnston, RI 02919-3246
Zip
02919-3246
Phone Number
626-319-5932
Fax Number
626-380-2395
Johnston, RI 02919Get directions →

Provider Business Mailing Address Details

Address
2109 Hartford Ave
Johnston, RI 02919-3246
City
Johnston
State
RI
Zip
02919-3246
Phone Number
626-319-5932

License Information

License Number (1)
463951
License State (1)
PA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
149352
License State (2)
CA
Taxonomy (2)
Internal Medicine · 207R00000X
License Number (3)
276683
License State (3)
MA
Taxonomy (3)
Internal Medicine · 207R00000X
License Number (4)
16379
License State (4)
RI
Taxonomy (5)
General Acute Care Hospital · 282N00000X
License Number (6)
16379
License State (6)
RI
Taxonomy (6)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Brian Mikolasko, MD MBA MS?

The NPI number of Dr. Brian Mikolasko, MD MBA MS is 1346669512. It was assigned on April 15, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Brian Mikolasko, MD MBA MS?

Dr. Brian Mikolasko, MD MBA MS is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PA under license number 463951.

Where does Dr. Brian Mikolasko, MD MBA MS practice?

The practice location is 2109 Hartford Ave, Johnston, RI 02919-3246. The office can be reached at 626-319-5932 (phone) or 626-380-2395 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346669512 directly on the NPPES registry website.

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