Bryan J Funke in Shaw Afb - Aerospace Medicine
Bryan J Funke - NPI 1629055298
Bryan J Funke is a Aerospace Medicine in Shaw Afb, South Carolina. Bryan J Funke practices all healthcare services and medical treatments related to Aerospace Medicine. The NPI Number for Bryan J Funke is 1629055298. The last update date is 2023-01-25.
Bryan J Funke's current location address is 420 Polifka Dr Bldg 1042, Shaw Afb, South Carolina. You can contact this provider via phone number 8038956746 and fax number 8038956746. The mailing address for Bryan J Funke is 420 Polifka Dr Bldg 1042, Shaw Afb, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan J Funke |
|---|---|
| Address | 420 Polifka Dr Bldg 1042, Shaw Afb, South Carolina |
| Phone Number | 8038956746 |
| Fax Number | 8038956746 |
| Sole Proprietor | N |
| Credentials | MD, MPH |
NPI Number Detail
| NPI Number | 1629055298 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2023-01-25 |
Provider Mailing Address Detail
| Address | 420 Polifka Dr Bldg 1042 |
|---|---|
| City | Shaw Afb |
| State | South Carolina (SC) |
| Post Code | 291525100 |
| Phone Number | 8038956746 |
| Fax Number | 8038956746 |
Provider's Primary Taxonomy Detail
| Speciality | Aerospace Medicine |
|---|---|
| Taxonomy | 2083A0100X |
| Licence No | MD31441 |
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Definition: Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicl |
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Post Comment/ Review Below
What is the unique identifier code issued to Bryan J Funke by the Centers for Medicare & Medicaid Services (CMS)?
The Bryan J Funke has been assigned the NPI (National Provider Identifier) 1629055298. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Bryan J Funke's physical address?
The Bryan J Funke is physically located at 420 Polifka Dr Bldg 1042, in the city of Shaw Afb, SC, with the postal code 291525100.
What is the Bryan J Funke's area of specialization and corresponding taxonomy classification?
The Bryan J Funke's specialty field is Aerospace Medicine, and it falls under the taxonomy code 2083A0100X, which categorizes healthcare providers based on their specialties.
On what date did the Bryan J Funke receive its 1629055298 assignment from the Centers for Medicare & Medicaid Services?
The Bryan J Funke was assigned its 1629055298 by the Centers for Medicare & Medicaid Services on 2005-12-27.
As of what date were the Bryan J Funke's details last updated?
The information pertaining to the Bryan J Funke, including its address, specialty, and other details, was most recently updated on 2023-01-25.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH