Individual
DR. CHARLES L BRYAN
Active
Individual
DR. CHARLES L BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
08312
MS
207RP1001X
Pulmonary Disease Physician
Primary
ME110790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124421
—
MS
05
—
003998200
—
FL
05
—
131501
—
AL
05
—
131503
—
AL
05
—
131504
—
AL
01
—
14FJ0
BLUE CROSS BLUE SHIELD
FL
01
—
592-15571
BLUE CROSS BLUE SHIELD
AL
01
—
592-15573
BLUE CROSS BLUE SHIELD
AL
01
—
592-15574
BLUE CROSS BLUE SHIELD
AL
Enumeration date
12/26/2005
Last updated
07/17/2012
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