Individual
MR. BRIAN J BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
93020
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200436340A
—
OK
Enumeration date
05/25/2012
Last updated
01/09/2014
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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