Dr Bridget Diane Bryan, DO | |
2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 | |
(405) 224-2100 | |
(405) 779-2365 |
Full Name | Dr Bridget Diane Bryan |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2100 W Iowa Ave, Chickasha, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982925913 | NPI | - | NPPES |
200397150A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 5036 (Oklahoma) | Primary |
Entity Name | Grady Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750370268 PECOS PAC ID: 0648175778 Enrollment ID: O20031203000193 |
Entity Name | Grady Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164859260 PECOS PAC ID: 0648175778 Enrollment ID: O20150520000323 |
Mailing Address | Practice Location Address |
---|---|
Dr Bridget Diane Bryan, DO 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 Ph: (405) 224-2100 | Dr Bridget Diane Bryan, DO 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 Ph: (405) 224-2100 |
James E Freed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2222 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-8111 Fax: 405-222-9587 | |
Marian Pilar Escobar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2222 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-8111 Fax: 405-222-5359 | |
Ryan Knapp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2365 | |
Dr. Xavier Lopez Gonzalez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2365 | |
Ervin Ronald Orr, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2100 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2310 | |
Barbara Ann Reilley Schmidt, ARNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2222 West Iowa, Chickasha, OK 73018 Phone: 405-224-8111 Fax: 405-222-9561 |