James Witt Bryan in Little Rock Air Forc - Sports Medicine
James Witt Bryan - NPI 1558326454
James Witt Bryan is a Sports Medicine in Little Rock Air Forc, Arkansas. James Witt Bryan practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for James Witt Bryan is 1558326454. The last update date is 2020-03-26.
James Witt Bryan's current location address is 1090 Arnold Dr, Little Rock Air Forc, Arkansas. You can contact this provider via phone number 5019877319 and fax number 5019871464. The mailing address for James Witt Bryan is 1090 Arnold Dr, Little Rock Air Forc, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Witt Bryan |
|---|---|
| Address | 1090 Arnold Dr, Little Rock Air Forc, Arkansas |
| Phone Number | 5019877319 |
| Fax Number | 5019871464 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558326454 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2020-03-26 |
Provider Mailing Address Detail
| Address | 1090 Arnold Dr |
|---|---|
| City | Little Rock Air Forc |
| State | Arkansas (AR) |
| Post Code | 720994933 |
| Phone Number | 5019877319 |
| Fax Number | 5019871464 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | C7904 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121472001 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to James Witt Bryan by the Centers for Medicare & Medicaid Services?
The James Witt Bryan has been assigned the NPI (National Provider Identifier) 1558326454. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where James Witt Bryan's facilities are geographically located?
The facilities of James Witt Bryan are physically situated at the following location: 1090 Arnold Dr, Little Rock Air Forc, AR, 720994933.
What is James Witt Bryan'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 James Witt Bryan is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.
On what date did the James Witt Bryan receive its 1558326454 assignment from the Centers for Medicare & Medicaid Services?
The James Witt Bryan was assigned its 1558326454 by the Centers for Medicare & Medicaid Services on 2006-04-20.
As of what date were the James Witt Bryan's details last updated?
The information pertaining to the James Witt Bryan, including its address, specialty, and other details, was most recently updated on 2020-03-26.
NPI Number: 1528061793
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