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Individual

DR. RYAN BAKER BRELAND

Active
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Individual

DR. RYAN BAKER BRELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
82519
GA
207X00000X
Orthopaedic Surgery Physician
MD.33550
AL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
46371
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003153634A
—
GA
01
—
1477725455
MEDICARE ID
AL
05
—
163245
—
AL
05
—
163853
—
AL
01
—
511-52483
BCBS OF AL - RCC
AL
01
—
511-52484
BCBS OF AL - HEALTHWEST
AL
Enumeration date
03/30/2008
Last updated
03/30/2020
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