Bryan, James Witt

Bryan, James Witt is an sole proprietor health care provider with primary practice located at 1090 Arnold Dr 19 Amds/Sgpf, Little Rock Air Force Base AR 72099-4933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Bryan, James Witt can be contacted via phone (501) 987-7319.

Contact Information

Primary practice address
1090 Arnold Dr 19 Amds/Sgpf Little Rock Air Force Base AR 72099-4933
Phone: (501) 987-7319
Fax: (501) 987-1464
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X C-7904 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-7904 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C7904 Arkansas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X C7904 Arkansas

Profile Details

NPI number 1558326454
LBN Legal business name Bryan, James Witt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2006
Last updated Mar 11th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558326454 NPPES
Arkansas MEDICAID 121472001

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