Bry, John David
Bry, John David is an individual health care provider with primary practice located at 350 30Th St Ste 210 , Oakland CA 94609-3425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Bry, John David can be contacted via phone (510) 832-6131.Contact Information
Primary practice address
350 30Th St Ste 210
Oakland CA 94609-3425
Phone: (510) 832-6131
Fax: (510) 832-6169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G79513 | California |
Profile Details
| NPI number | 1972614238 |
|---|---|
| LBN Legal business name | Bry, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 6th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972614238 | NPPES |
| California | MEDICAID | 00G795130 |
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