Anderson, Bryan G
Anderson, Bryan G is an sole proprietor health care provider with primary practice located at 200 Clint Hill Blvd , Paducah KY 42001-6768. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Anderson, Bryan G can be contacted via phone (270) 442-9461.Contact Information
Primary practice address
200 Clint Hill Blvd
Paducah KY 42001-6768
Phone: (270) 442-9461
Fax: (270) 441-0079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 361168134 | Illinois |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | TP215 | Kentucky |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | OP61396249 | Washington |
Profile Details
| NPI number | 1760820989 |
|---|---|
| LBN Legal business name | Anderson, Bryan G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2013 |
| Last updated | Aug 26th, 2026 - about 2 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760820989 | NPPES |
| Washington | MEDICAID | 2254675 |
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