Active NPIIndividual provider

Dr. Brian A Ellison, MD

Radiology, Diagnostic Radiology in Camden, New Jersey

NPI Number1700316403
Practice location
1 Cooper Plz, Camden, NJ 08103-1461
Fax
—
Last updated
October 14, 2026

Brian Allen Ellison is a Radiology, Diagnostic Radiology based in Camden, NJ. Brian Allen Ellison practices in Camden, NJ and has the professional credentials of MD. The NPI Number for Brian Allen Ellison is 1700316403 and holds a License No. 25IA13189500 (NJ). The current practice location address for Brian Allen Ellison is 1 Cooper Plz, Camden, NJ 08103-1461 and can be reached out via phone at 888-499-8779.

Provider Profile Details

NPI Number
1700316403
Provider Name
Brian Allen Ellison
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Cooper Plz, Camden, NJ 08103-1461
Phone Number
888-499-8779
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2017
Last Update Date
October 14, 2026
Certification Date
October 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Cooper Plz
Camden, NJ 08103-1461
City
Camden
Zip
08103-1461
Phone Number
888-499-8779
Camden, NJ 08103Get directions →

Provider Business Mailing Address Details

Address
1 Federal St Ste 200
Camden, NJ 08103-1088
City
Camden
State
NJ
Zip
08103-1088
Phone Number
848-288-6935

License Information

License Number (1)
25IA13189500
License State (1)
NJ
Taxonomy (1)
Radiology, Diagnostic Radiology · 2085R0202X · Primary
License Number (2)
281766
License State (2)
MA
Taxonomy (2)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (3)
A183776
License State (3)
CA
Taxonomy (3)
Radiology, Diagnostic Radiology · 2085R0202X

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 A Ellison, MD?

The NPI number of Dr. Brian A Ellison, MD is 1700316403. It was assigned on June 14, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Brian A Ellison, MD?

Dr. Brian A Ellison, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NJ under license number 25IA13189500.

Where does Dr. Brian A Ellison, MD practice?

The practice location is 1 Cooper Plz, Camden, NJ 08103-1461. The office can be reached at 888-499-8779 (phone).

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 1700316403 directly on the NPPES registry website.

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