Individual
MR. BRYAN JAMES SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11570447
CAQH
CA
01
—
ZZZ13110Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
08/09/2005
Last updated
10/03/2024
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