Fry, Bruce Brian
Fry, Bruce Brian is an individual health care provider with primary practice located at 260 Fort Sanders West Blvd , Knoxville TN 37922-3355. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Fry, Bruce Brian can be contacted via phone (865) 558-4400.Contact Information
Primary practice address
260 Fort Sanders West Blvd
Knoxville TN 37922-3355
Phone: (865) 558-4400
Fax: (865) 769-4536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 1406 | Tennessee |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 1406 | Tennessee |
Profile Details
| NPI number | 1124097167 |
|---|---|
| LBN Legal business name | Fry, Bruce Brian |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jan 14th, 2026 - about 10 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 | 1124097167 | NPPES |
| Tennessee | MEDICAID | 3306949 | |
| Tennessee | Other | 2340066 | |
| Tennessee | Other | TN01B1 | |
| Tennessee | Other | 250014223 | |
| Tennessee | Other | 4028311 | |
| Tennessee | Other | TN01A9 |
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