# ADVANCED ORTHOPAEDIC SPECIALISTS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447278130
- **Authorized official:** DR. BRYAN R HERRON MD (PHYSICIAN)
- **Authorized official phone:** (410) 414-9840

## Contact information

- **Practice address:** 497 MAIN ST, SUITE 200, PRINCE FREDERICK, MD 20678-3189
- **Practice address phone:** (410) 414-9840
- **Practice address fax:** (410) 414-9841
- **Mailing address:** 497 MAIN ST, SUITE 200, PRINCE FREDERICK, MD 20678-3189
- **Mailing address phone:** (410) 414-9840
- **Mailing address fax:** (410) 414-9841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 12/12/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | KCZ9 | BCBS | MD |