Ladonna J Bryan is a Surgery in Jacksonville, Illinois. Ladonna J Bryan practices all healthcare services and medical treatments related to Surgery. The NPI Number for Ladonna J Bryan is 1508975285. The last update date is 2023-03-07.
Ladonna J Bryan's current location address is 1600 W Walnut St, Jacksonville, Illinois. You can contact this provider via phone number 2174795821 and fax number 2172437406. The mailing address for Ladonna J Bryan is 1600 W Walnut St, Jacksonville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ladonna J Bryan |
|---|---|
| Address | 1600 W Walnut St, Jacksonville, Illinois |
| Phone Number | 2174795821 |
| Fax Number | 2172437406 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508975285 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1600 W Walnut St |
|---|---|
| City | Jacksonville |
| State | Illinois (IL) |
| Post Code | 626501136 |
| Phone Number | 2174795821 |
| Fax Number | 2172437406 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036111023 1 | IL | -- | |
| 036111023 2 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ladonna J Bryan by the Centers for Medicare & Medicaid Services (CMS)?
The Ladonna J Bryan has been assigned the NPI (National Provider Identifier) 1508975285. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Ladonna J Bryan is located?
The Ladonna J Bryan is situated at the following address: 1600 W Walnut St, Jacksonville, IL, 626501136.
What is Ladonna J 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 Ladonna J Bryan is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
When did Ladonna J Bryan receive its 1508975285 assignment?
The Ladonna J Bryan was assigned its 1508975285 on 2006-08-29, which is the date when this unique identifier was issued to the organization.
When was the Ladonna J Bryan's information last updated?
The Ladonna J Bryan's information was last updated on 2023-03-07.