COLEMAN J BRYAN M.D. MSPH NPI 1962585968

NPI Information

Coleman J Bryan, M.D., MSPH is a pediatric hematology-oncology pediatrics in Jacksonville, FL. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Coleman J Bryan, M.D., MSPH NPI is 1962585968. 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:

554 KEILY STREET
JACKSONVILLE, FL
ZIP 32212
Phone: (757) 953-7550
Fax: (757) 953-7560

The NPI 1962585968 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 4/11/2017.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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