# DR. BRYAN M PHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154702033
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 2015018554 | MO | — |
| 208800000X | Urology Physician | 73761 | TN | — |
| 208800000X | Urology Physician | S7756 | TX | Yes |

## Other

- **Enumeration date:** 06/16/2015
- **Last updated:** 01/06/2026
