Individual
GARY R. BRIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1009 FOY CT, CROWN POINT, IN 46307-9821
(219) 662-2962
Mailing address
1009 FOY CT, CROWN POINT, IN 46307-9821
(219) 662-2962
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01041362A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01041362
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200127970A
—
IN
Enumeration date
07/05/2005
Last updated
07/15/2024
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