Bryson, Keith G
Bryson, Keith G is an individual health care provider with primary practice located at 2805 5Th St Suite 100, Rapid City SD 57701-6003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bryson, Keith G can be contacted via phone (605) 719-5700.Contact Information
Primary practice address
2805 5Th St Suite 100
Rapid City SD 57701-6003
Phone: (605) 719-5700
Fax: (605) 719-5701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 5987 | South Dakota |
Profile Details
| NPI number | 1003815804 |
|---|---|
| LBN Legal business name | Bryson, Keith G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Feb 6th, 2013 - about 11 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 | 1003815804 | NPPES |
| South Dakota | Other | P00414306 | RR MEDICARE |
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