Dr. Bryan Burk Graham
Chiropractic Sports Physician
34 Long Pond Rd
Plymouth
, Massachusetts 02360-2606
Dr. Bryan Burk Graham
Chiropractic Sports Physician
34 Long Pond Rd
Plymouth
, Massachusetts 02360-2606
(508) 747-0772
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Bryan Burk Graham
- 34 Long Pond Rd
- Plymouth, MA
- Zip : 02360-2606
- Fax : (508) 747-0772
- Phone : (508) 747-1434
Second Address
- Dr. Bryan Burk Graham
- 34 Long Pond Rd
- Plymouth, MA
- Zip : 02360-2606
- Fax : (508) 747-0772
- Phone : (508) 747-1434
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 2158 | MA |
National Provider Identifier
| NPI | 1083708937 |
|---|---|
| Provider Name | Dr. Bryan Burk Graham |
| First Address | Plymouth, MA 02360-2606 |
| Second Address | Plymouth, MA 02360-2606 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 04/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1608550 | (05) | MA |
| 28387 | CIGNA (01) | MA |
| 3303802 | AETNA (01) | MA |
| 352411 | HARVARD PILGRIM HEALTH CA (01) | MA |
| 4401065 | UNITED HEALTH CARE (01) | MA |
| 470633 | TUFTS (01) | MA |
| 698922 | SECURE HORIZONS (01) | MA |
| U93946 | (02) | MA |
| Y36728 | BCBS OF MA (01) | MA |
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.