Bryant, Justin R
Bryant, Justin R is an individual health care provider with primary practice located at 11141 Parkview Plaza Dr Ste 300 , Fort Wayne IN 46845-1715. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Bryant, Justin R can be contacted via phone (260) 425-6960.Contact Information
Primary practice address
11141 Parkview Plaza Dr Ste 300
Fort Wayne IN 46845-1715
Phone: (260) 425-6960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 71983 | Wisconsin |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | DO034726 | District of Columbia |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 02004908A | Indiana |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | OS21663 | Florida |
Profile Details
| NPI number | 1427363449 |
|---|---|
| LBN Legal business name | Bryant, Justin R |
| Credentials | DO, MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2010 |
| Last updated | May 22nd, 2025 - about last year |
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 | 1427363449 | NPPES |
| Wisconsin | MEDICAID | 1427363449 |
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