Individual
BRYAN J. BADIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 BRIGHAM DR, SUITE 250, PERRYSBURG, OH 43551-7114
(419) 872-5863
(419) 872-3015
Mailing address
1601 BRIGHAM DR, SUITE 250, PERRYSBURG, OH 43551-7114
(419) 872-5863
(419) 872-3015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35087370
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000485304
ANTHEM
OH
01
—
06185
PARAMOUNT
OH
05
—
2665370
—
OH
01
—
279820172
TRICARE
OH
01
—
279820172-001
MMOH
OH
01
—
7449837
AETNA
OH
01
—
P00325743
RRMC
OH
Enumeration date
07/08/2006
Last updated
11/03/2023
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