Individual
BRYAN DALE KAPLANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 110, FORT WAYNE, IN 46845-1673
(260) 373-5436
Mailing address
3888 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 489-5446
(260) 489-6997
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
01042880
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01042880A
IN
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
35.057638
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250013437
MEDICARE RAILROAD
IN
Enumeration date
06/15/2005
Last updated
08/11/2021
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