Bryan, Richard G

Bryan, Richard G is an individual health care provider with primary practice located at 120 Dudley St Suite 303, Providence RI 02905-2436. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Bryan, Richard G can be contacted via phone (401) 369-7773.

Contact Information

Primary practice address
120 Dudley St Suite 303 Providence RI 02905-2436
Phone: (401) 369-7773
Fax: (401) 369-7336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X MD11942 Rhode Island
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 225844 Massachusetts
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD11942 Rhode Island
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 225844 Massachusetts

Profile Details

NPI number 1366428120
LBN Legal business name Bryan, Richard G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Apr 6th, 2017 - about 9 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 1366428120 NPPES
Rhode Island Other 603940 TUFTS GROUP #
Rhode Island Other 6411654 TUFTS GROUP #
Rhode Island MEDICAID 2126478 TUFTS GROUP #
Rhode Island Other 31547 TUFTS GROUP #
Rhode Island MEDICAID 9001520 TUFTS GROUP #
Rhode Island Other 050493136 TUFTS GROUP #
Rhode Island Other 1147102 TUFTS GROUP #
Rhode Island Other 0037063 TUFTS GROUP #
Rhode Island Other 412894 TUFTS GROUP #
Rhode Island Other 495317 TUFTS GROUP #
Rhode Island MEDICAID 9004425 TUFTS GROUP #
Rhode Island Other 26587 TUFTS GROUP #
Rhode Island Other AA43800 TUFTS GROUP #
Rhode Island Other J40022 TUFTS GROUP #
Rhode Island MEDICAID 7058056 TUFTS GROUP #
Rhode Island Other P00266943 TUFTS GROUP #

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