Richard G Bryan in Providence - Retina Specialist
Richard G Bryan - NPI 1366428120
Richard G Bryan is a Retina Specialist in Providence, Rhode Island. Richard G Bryan practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Richard G Bryan is 1366428120. The last update date is 2017-04-06.
Richard G Bryan's current location address is 120 Dudley St, Providence, Rhode Island. You can contact this provider via phone number 4013697773 and fax number 4013697336. The mailing address for Richard G Bryan is 120 Dudley St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard G Bryan |
|---|---|
| Address | 120 Dudley St, Providence, Rhode Island |
| Phone Number | 4013697773 |
| Fax Number | 4013697336 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366428120 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2017-04-06 |
Provider Mailing Address Detail
| Address | 120 Dudley St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29052436 |
| Phone Number | 4013697773 |
| Fax Number | 4013697336 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | MD11942 |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 603940 | RI | TUFTS GROUP # | |
| 6411654 | RI | CIGNA | |
| 2126478 | MA | -- | |
| 31547 | RI | NEIGHBORHOOD RI | |
| 9001520 | RI | -- | |
| 50493136 | RI | UNITED | |
| 1147102 | RI | AETNA | |
| 37063 | MA | NEIGHBORHOOD MA | |
| 412894 | RI | BLUE CHIP | |
| 495317 | RI | TUFTS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Richard G Bryan by the Centers for Medicare & Medicaid Services?
The Richard G Bryan has been issued the NPI (National Provider Identifier) 1366428120 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Richard G Bryan's facilities are geographically located?
The facilities of Richard G Bryan are physically situated at the following location: 120 Dudley St, Providence, RI, 29052436.
What is the Richard G Bryan's specialty and taxonomy code?
The Richard G Bryan's specialty is Retina Specialist, and the corresponding taxonomy code is 207Wx0107X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366428120 to Richard G Bryan?
The Richard G Bryan received its 1366428120 assignment from the Centers for Medicare & Medicaid Services on 2005-12-22.
When was the information pertaining to Richard G Bryan most recently updated or revised?
The details related to Richard G Bryan, including its address, specialty, and other relevant information, were last updated or revised on 2017-04-06.