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Individual
BRYAN N. BAINES
Active
Individual
BRYAN N. BAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101043474
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102080
UNITED HEALTHCARE PROV. #
VA
01
—
080105932
RAILROAD MEDICARE
VA
01
—
233398
MAMSI PROVIDER NUMBER
VA
01
—
250460
ANTHEM PROVIDER NUMBER
VA
05
—
5623014
—
VA
Enumeration date
05/23/2005
Last updated
03/19/2021
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