Bryan J Anderson Md Pc

LBN: Bryan J Anderson Md Pc
Bryan J Anderson Md Pc is an health care organization with primary practice located at 1072 N Liberty St #201, Boise ID 83704-8706. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Bryan J Anderson Md Pc can be contacted via phone (208) 377-2273, or through Anderson, Bryan J via phone (208) 377-2273.

Contact Information

Primary practice address
1072 N Liberty St #201 Boise ID 83704-8706
Phone: (208) 377-2273
Fax: (208) 367-3059
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Bryan J Doctor of Medicine (MD)
Phone: (208) 377-2273

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M7735 Idaho

Profile Details

NPI number 1942270251
LBN Legal business name Bryan J Anderson Md Pc
DBA Doing business as
Authorized official Anderson, Bryan J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2006
Last updated Feb 7th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942270251 NPPES
Idaho MEDICAID 805476700

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