Individual
DR. MARK BRYNIARSKI
Active
Individual
DR. MARK BRYNIARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
62063
AZ
207T00000X
Neurological Surgery Physician
Primary
97-21
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28919826
MEDICAID GROUP NUMBER
CO
05
—
31901751
—
CO
01
—
348308
MEDICARE GROUP NUMBER
CO
01
—
73926337
MEDICAID PRACTICE NUMBER
CO
01
—
97-21
NM LICENSE
NM
01
—
C810213
MEDICARE GROUP NUMBER
CO
01
—
DG3723
RAILROAD MEDICARE GROUP NUMBER
CO
Enumeration date
06/20/2005
Last updated
08/25/2021
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