Bryan, Charles L

Bryan, Charles L is an individual health care provider with primary practice located at 435 Airport Blvd , Pensacola FL 32503-7847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Bryan, Charles L can be contacted via phone (850) 435-7448.

Contact Information

Primary practice address
435 Airport Blvd Pensacola FL 32503-7847
Phone: (850) 435-7448
Fax: (850) 435-3156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 08312 Mississippi
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME110790 Florida

Profile Details

NPI number 1063499614
LBN Legal business name Bryan, Charles L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2005
Last updated Jul 17th, 2012 - about 13 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063499614 NPPES
Alabama Other 592-15571 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 00124421 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 131501 BLUE CROSS BLUE SHIELD
Alabama Other 592-15573 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 131503 BLUE CROSS BLUE SHIELD
Alabama Other 14FJ0 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 131504 BLUE CROSS BLUE SHIELD
Alabama Other 592-15574 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 003998200 BLUE CROSS BLUE SHIELD

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