Individual
CURTIS R. BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224 GREAT BRIDGE BLVD., CHESAPEAKE, VA 23320
(757) 547-9334
(757) 819-6292
Mailing address
224 GREAT BRIDGE BLVD., CHESAPEAKE, VA 23320
(757) 547-9334
(757) 819-6292
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101041906
VA
2084P0804X
Child & Adolescent Psychiatry Physician
0101041906
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084080
SENTARA
—
01
—
097362
BC/BS
VA
01
—
429329
MAMSI
—
01
—
541698571
CHAMPUS
—
05
—
7101490
—
VA
Enumeration date
08/12/2005
Last updated
10/21/2014
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