Beardsley, Bryan James

Beardsley, Bryan James is an individual health care provider with primary practice located at 320 Warner Dr , Lewiston ID 83501-4441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Beardsley, Bryan James can be contacted via phone (208) 743-3523.

Contact Information

Primary practice address
320 Warner Dr Lewiston ID 83501-4441
Phone: (208) 743-3523
Fax: (208) 746-8471
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M9722 Idaho
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00044939 Washington

Profile Details

NPI number 1104856087
LBN Legal business name Beardsley, Bryan James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jun 24th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104856087 NPPES
Idaho MEDICAID 807636400
Idaho MEDICAID 8169918
Idaho Other 76800
Idaho Other 000010159447

Popular Providers