Bryan Carroll is a Dermatology in Westlake, Ohio. Bryan Carroll practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Bryan Carroll is 1609087121. The last update date is 2020-12-30.
Bryan Carroll's current location address is 950 Clague Rd Bldg B, Westlake, Ohio. You can contact this provider via phone number 2168448200 and fax number 4402502022. The mailing address for Bryan Carroll is 950 Clague Rd Bldg B, Westlake, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Carroll |
|---|---|
| Address | 950 Clague Rd Bldg B, Westlake, Ohio |
| Phone Number | 2168448200 |
| Fax Number | 4402502022 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1609087121 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2020-12-30 |
Provider Mailing Address Detail
| Address | 950 Clague Rd Bldg B |
|---|---|
| City | Westlake |
| State | Ohio (OH) |
| Post Code | 441451533 |
| Phone Number | 2168448200 |
| Fax Number | 4402502022 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 101252291 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10097097 | VA | OPTIMA HEALTH | |
| 1609087121 | VA | COVENTRY HEALTH NETWORK | |
| 5921028 | NC | -- | |
| 1609087121 | VA | UNITED HEALTHCARE | |
| PAR | VA | CIGNA | |
| PAR | VA | MULTIPLAN | |
| -5 | VA | TRICARE/CHAMPUS | |
| 473606 | VA | ANTHEM BC/BS | |
| PAR | VA | CORVEL | |
| PAR | VA | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bryan Carroll by the Centers for Medicare & Medicaid Services?
The Bryan Carroll has been issued the NPI (National Provider Identifier) 1609087121, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bryan Carroll?
The Bryan Carroll is situated at 950 Clague Rd Bldg B, in the city of Westlake, state of OH, with the zip code 441451533.
What is Bryan Carroll's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bryan Carroll is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609087121 to Bryan Carroll?
The Bryan Carroll received its 1609087121 assignment from the Centers for Medicare & Medicaid Services on 2007-05-25.
As of what date was the information regarding Bryan Carroll, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bryan Carroll, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-12-30.
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