Individual
BRYAN HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
245 MEDICAL PARK DR, MARION, VA 24354-1100
(276) 378-1000
Mailing address
336 S FORK RD, MARION, VA 24354-6838
(276) 620-4526
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2201
WV
207Q00000X
Family Medicine Physician
0102202617
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316089014
—
VA
05
—
PENDING
—
WV
Enumeration date
02/12/2007
Last updated
06/23/2025
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