Individual
JAMES EARL BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
377 GALLIMORE RD, BREVARD, NC 28712-8874
(828) 884-9030
(828) 884-3563
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 213-1500
(828) 651-6570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009-00343
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCA619A
MEDICARE PTAN
NC
01
—
NCA619B
MEDICARE PTAN
NC
01
—
NCA619C
MEDICARE PTAN
NC
01
—
NCA619D
MEDICARE PTAN
NC
Enumeration date
09/21/2006
Last updated
01/07/2022
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