Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Michael Licht, MD

Individual provider Anesthesiology Physician · NPI 1366903809

Brian Michael Licht, MD is an Anesthesiology in New York, New York. Graduated from Eastern Virginia Medical School in 2019, 7 years ago. Practices with Fpa Hospital Based, a 422-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
7
Trained at
Eastern Virginia Medical School
Licensed in
CA, NY
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone: (212) 241-6426
Fax: (212) 876-3906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 513 Parnassus Ave., S436, Box 0427, San Francisco, CA 94143 — (415) 353-1297
  • 1468 Madison Ave Fl 8, New York, NY 10029-6508 — (212) 241-7473

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 332183 (NY)
Anesthesiology Physician Taxonomy 207L00000X · Licence A189924 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366903809
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Fpa Hospital Based — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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