Individual
DR. GLENN EDMUND BRYAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4255 N US HIGHWAY 1, MELBOURNE, FL 32935-4822
(321) 543-0379
Mailing address
4255 N US HIGHWAY 1, MELBOURNE, FL 32935-4822
(321) 259-6797
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0037596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME0037596
STATE LICENSE
FL
Enumeration date
04/27/2020
Last updated
04/27/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us