Individual
DR. RYAN BAKER BRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 ROSS CLARK CIR, DOTHAN, AL 36301-4754
(334) 793-2663
(334) 836-2248
Mailing address
132 HWY 280 BLDG 1A, AMERICUS, GA 31719-8645
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
82519
GA
207X00000X
Orthopaedic Surgery Physician
MD.33550
AL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
46371
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003153634A
—
GA
01
—
1477725455
MEDICARE ID
AL
05
—
163245
—
AL
05
—
163853
—
AL
01
—
511-52483
BCBS OF AL - RCC
AL
01
—
511-52484
BCBS OF AL - HEALTHWEST
AL
Enumeration date
03/30/2008
Last updated
03/30/2020
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