Dr Bruce Jackson Bryan, MD - Surgery in Pinetop, AZ

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Dr Bruce Jackson Bryan, MD is a Surgery physician based in Pinetop, Arizona. Dr Bruce Jackson Bryan is licensed to practice in Arizona (license number 20232) and his current practice location is 163 W White Mountain Hwy, Suite D, Pinetop, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 367-1200.

NPI number for Dr Bruce Jackson Bryan is 1700847050 and his current mailing address is Po Box 2850, 163 White Mountain Hwy Suite D, Pinetop, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700847050.

Contact Information

Dr Bruce Jackson Bryan, MD
163 W White Mountain Hwy, Suite D,
Pinetop, AZ 85935-2850
(928) 367-1200
(928) 367-1205

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Physician's Profile

Full NameDr Bruce Jackson Bryan
GenderMale
SpecialitySurgery
Location163 W White Mountain Hwy, Pinetop, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700847050
  • Provider Enumeration Date: 03/28/2006
  • Last Update Date: 08/24/2007

Medical Identifiers

Medical identifiers for Dr Bruce Jackson Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700847050NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 20232 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bruce Jackson Bryan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Bruce Jackson Bryan, MD
Po Box 2850, 163 White Mountain Hwy Suite D,
Pinetop, AZ 85935-2850

Ph: (928) 367-1200		Dr Bruce Jackson Bryan, MD
163 W White Mountain Hwy, Suite D,
Pinetop, AZ 85935-2850

Ph: (928) 367-1200

Reviews and Comments


Surgery Doctors in Pinetop, AZ


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