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Individual

BRYAN K BARTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 E WENDOVER AVE, SUITE 411, GREENSBORO, NC 27401-1230
(336) 832-3200
(336) 832-3201
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-3200
(336) 832-3201

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
9400714
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
9400714
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13590
BLUE CROSS & BLUE SHIELD
NC
01
1801562
UNITED HEALTHCARE
NC
01
330003708
RAILROAD MCR
NC
01
51171
MEDCOST
NC
05
7913590
NC
Enumeration date
06/10/2005
Last updated
08/10/2021
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