Individual
MR. BRYAN EUGENE BRANDON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
135 MEDICAL DR, SUITE 101, ADVANCE, NC 27006-6651
(336) 940-6416
(336) 940-6410
Mailing address
166 HIGH MEADOWS RD, ADVANCE, NC 27006-7890
(336) 940-6415
(336) 940-6410
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0281Y
BCBS OF NC
NC
05
—
7210626
—
NC
01
—
85377
MEDCOST
NC
Enumeration date
04/14/2006
Last updated
07/09/2007
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