Russell Wayne Bryan in Pensacola - Medical
Russell Wayne Bryan - NPI 1043290026
Russell Wayne Bryan is a Medical in Pensacola, Florida. Russell Wayne Bryan practices all healthcare services and medical treatments related to Medical. The NPI Number for Russell Wayne Bryan is 1043290026. The last update date is 2007-07-08.
Russell Wayne Bryan's current location address is 5800 W Fairfield Dr, Pensacola, Florida. You can contact this provider via phone number 8504554201. The mailing address for Russell Wayne Bryan is 5800 W Fairfield Dr, Pensacola, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Wayne Bryan |
|---|---|
| Address | 5800 W Fairfield Dr, Pensacola, Florida |
| Phone Number | 8504554201 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1043290026 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5800 W Fairfield Dr |
|---|---|
| City | Pensacola |
| State | Florida (FL) |
| Post Code | 325063440 |
| Phone Number | 8504554201 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 110840787 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Russell Wayne Bryan by the Centers for Medicare & Medicaid Services?
The Russell Wayne Bryan has been issued the NPI (National Provider Identifier) 1043290026 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Russell Wayne Bryan?
The Russell Wayne Bryan is situated at 5800 W Fairfield Dr, in the city of Pensacola, state of FL, with the zip code 325063440.
What is the area of specialization for Russell Wayne Bryan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Russell Wayne Bryan is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Russell Wayne Bryan receive the assignment of its 1043290026 from the Centers for Medicare & Medicaid Services?
The Russell Wayne Bryan was issued its 1043290026 by the Centers for Medicare & Medicaid Services on 2006-01-18.
When was the information related to Russell Wayne Bryan most recently updated or refreshed?
The details pertaining to the Russell Wayne Bryan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.