Individual
JOHN P BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 COOK RD, YORKTOWN, VA 23690-9640
(757) 898-7261
(757) 890-0139
Mailing address
860 OMNI BLVD, SUITE 303, NEWPORT NEWS, VA 23606-4430
(757) 232-8777
(757) 232-8866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101032326
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080047252
RAILROAD MEDICARE
—
01
—
096541
ANTHEM
VA
05
—
5638569
—
VA
Enumeration date
07/01/2005
Last updated
12/28/2012
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