Individual
DR. BRYAN BURK GRAHAM
Active
Individual
DR. BRYAN BURK GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.S.P
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2158
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1608550
—
MA
01
—
28387
CIGNA
MA
01
—
3303802
AETNA
MA
01
—
352411
HARVARD PILGRIM HEALTH CA
MA
01
—
4401065
UNITED HEALTH CARE
MA
01
—
470633
TUFTS
MA
01
—
698922
SECURE HORIZONS
MA
01
—
Y36728
BCBS OF MA
MA
Enumeration date
10/03/2006
Last updated
06/04/2008
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