Bryant, Thomas L

Bryant, Thomas L is an individual health care provider with primary practice located at 1000 Lincoln St Ste 208, Fort Morgan CO 80701-3290. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bryant, Thomas L can be contacted via phone (970) 867-5350.

Contact Information

Primary practice address
1000 Lincoln St Ste 208 Fort Morgan CO 80701-3290
Fax: (970) 867-3975
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36569 Colorado

Profile Details

NPI number 1063475390
LBN Legal business name Bryant, Thomas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Nov 11th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063475390 NPPES
Colorado Other 20062441080701 TRICARE
Colorado Other BR663559 TRICARE
Colorado MEDICAID 25289039 TRICARE
Colorado Other P00126732 TRICARE
Colorado Other 31113882101 TRICARE

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