Organization
GARY B. BRYANT, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY B BRYANT MD (PRESIDENT)
(931) 728-4477
Entity
Organization
Contact information
Practice address
119 E FORT ST, MANCHESTER, TN 37355-1508
(931) 728-4477
(931) 728-4997
Mailing address
PO BOX 240, MANCHESTER, TN 37349-0240
(931) 728-4477
(931) 728-4997
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD009298
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001849
NHC HEALTH BENEFIT PLAN
TN
01
—
01-40498
UNITED HEALTH CARE
TN
01
—
01037992
AMERIGROUP
TN
01
—
080145045
RAILROAD MEDICARE
TN
01
—
3034820
BCBS OF TN
TN
05
—
3158264
—
TN
05
—
3158265
—
TN
01
—
89001688
BCBS OF AL
TN
Enumeration date
08/12/2006
Last updated
04/14/2009
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