Individual
CHRISTOPHER MICHAEL BRYAN HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
818 ELLICOTT ST, BUFFALO, NY 14203-1021
(716) 323-6570
Mailing address
1001 MAIN ST # K3502, BUFFALO, NY 14203-1009
(716) 323-6570
(716) 323-6658
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2021321
NY
2080P0203X
Pediatric Critical Care Medicine Physician
202132
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010201901
UNIVERA
—
01
—
000524184003
BC/BS
—
05
—
0016874670001
—
PA
05
—
01647754
—
NY
01
—
040426001276
FIDELIS
—
01
—
2008190
IHA
—
Enumeration date
02/21/2006
Last updated
03/04/2025
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