Bryan Jessop Eckerle
Neurologist Vascular Neurology
3 Audubon Plaza Dr Ll2
Louisville
, Kentucky 40217-1300
Bryan Jessop Eckerle
Neurologist Vascular Neurology
3 Audubon Plaza Dr Ll2
Louisville
, Kentucky 40217-1300
(502) 272-5116
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About
Features
Specialties
- Neurologist
- Vascular Neurology
Languages spoken
- English
Location
First Address
- Bryan Jessop Eckerle
- Po Box 776351
- Chicago, IL
- Zip : 60677-6351
- Fax : (502) 272-5116
- Phone : (502) 588-9490
Second Address
- Bryan Jessop Eckerle
- 3 Audubon Plaza Dr Ll2
- Louisville, KY
- Zip : 40217-1300
- Fax : (502) 636-4941
- Phone : (502) 636-4940
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Is Bryan Jessop Eckerle a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 46403 | KY |
| N | 2084V0102X | Vascular Neurology | 46403 | KY |
National Provider Identifier
| NPI | 1023252558 |
|---|---|
| Provider Name | Bryan Jessop Eckerle |
| First Address | Chicago, IL 60677-6351 |
| Second Address | Louisville, KY 40217-1300 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2009 |
| Last Update Date | 11/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 74003114 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.