Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME151488 | FL |
N | 207X00000X | Orthopaedic Surgeon | TRN21696 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | FB9632781 | CA |
NPI | 1003296328 |
---|---|
Provider Name | Bryan David Brown |
First Address | San Diego, CA 92103-1911 |
Second Address | Orlando, FL 32806-1215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2015 |
Last Update Date | 31/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
TRN21696 | TRAINING REGISTRATION NUMBER (01) | FL |