Fry, Bruce Brian

Fry, Bruce Brian is an individual health care provider with primary practice located at 260 Fort Sanders West Blvd , Knoxville TN 37922-3355. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Fry, Bruce Brian can be contacted via phone (865) 558-4400.

Contact Information

Primary practice address
260 Fort Sanders West Blvd Knoxville TN 37922-3355
Phone: (865) 558-4400
Fax: (865) 769-4536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X DO1406 Tennessee
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X DO1406 Tennessee

Profile Details

NPI number 1124097167
LBN Legal business name Fry, Bruce Brian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 20th, 2017 - about 8 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 1124097167 NPPES
Tennessee Other TN01B1 JOHN DEERE HEALTHCARE
Tennessee MEDICAID 3306949 JOHN DEERE HEALTHCARE
Tennessee Other 4028311 JOHN DEERE HEALTHCARE
Tennessee Other TN01A9 JOHN DEERE HEALTHCARE
Tennessee Other 250014223 JOHN DEERE HEALTHCARE
Tennessee Other 2340066 JOHN DEERE HEALTHCARE

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