Glenn Edmund Bryan Jr.

Surgery Physician · Melbourne, FL

Individual Active NPI

NPI number 1952922270

Practice location

4255 N Us Highway 1
Melbourne, FL 32935-4822
Phone
(321) 543-0379

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NPI record

NPI
1952922270
Entity type
Individual (Type 1)
Enumeration date
April 27, 2020
Last updated
April 27, 2020
Certified
April 27, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X ME0037596 FL

About Glenn Bryan

Glenn Edmund Bryan Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 4255 N Us Highway 1, Melbourne, FL 32935-4822. The NPI number 1952922270 was assigned on April 27, 2020 and the record was last updated on April 27, 2020.

Glenn Bryan lists a license in the registry: #ME0037596 (FL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Glenn Edmund Bryan Jr.?

The NPI number is 1952922270.

What is the phone number of Glenn Bryan?

The phone number listed for the practice location is (321) 543-0379.

Where is Glenn Bryan located?

4255 N Us Highway 1, Melbourne, FL 32935-4822.

What is the taxonomy code for Glenn Bryan?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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