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

Issac Pothen Brian, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013701036

Issac Pothen Brian, MD is a Student in an Organized Health Care Education/Training Program in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025
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

2501 N Patterson St
Valdosta, GA 31602-1735
Phone: (678) 906-0068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 17085 (GA)

Record details

NPI number1013701036
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 6, 2025
Mailing address313 Westminister Ln Sw, Lilburn, GA 30047-3063

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