Individual
MICHAEL STEVEN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1841 QUIET CV, FAYETTEVILLE, NC 28304-3857
(910) 323-2626
(910) 323-3862
Mailing address
1841 QUIET CV, FAYETTEVILLE, NC 28304-3857
(910) 323-2626
(910) 483-6367
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39244
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1738885
UNITED HEALTH CARE
NC
01
—
19392
BLUE CROSS BLUE SHIELD NC
NC
01
—
42311
MEDCOST
NC
05
—
8919392
—
NC
Enumeration date
06/22/2005
Last updated
03/03/2008
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