RUSSELL WAYNE BRYAN PA-C NPI 1043290026

NPI Information

NPI: 1043290026
Provider Name: RUSSELL WAYNE BRYAN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
450 TURNER ST
BRANCH HEALTH CLINIC, NAVAL AIR STATION
PENSACOLA, FL
ZIP 32508
Phone: (850) 452-5242
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Russell Wayne Bryan, PA-C is a medical physician assistant in Pensacola, FL. Russell Wayne Bryan, PA-C NPI is 1043290026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

450 TURNER ST
BRANCH HEALTH CLINIC, NAVAL AIR STATION
PENSACOLA, FL
ZIP 32508-211
Phone: (850) 452-5242

The enumeration date for this NPI number is 1/18/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0110840787	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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