Herron, Bryan R

Herron, Bryan R is an individual health care provider with primary practice located at 497 Main St Suite 200, Prince Frederick MD 20678-3189. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Herron, Bryan R can be contacted via phone (410) 414-9840.

Contact Information

Primary practice address
497 Main St Suite 200 Prince Frederick MD 20678-3189
Fax: (410) 414-9841
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D51875 Maryland

Profile Details

NPI number 1245252311
LBN Legal business name Herron, Bryan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jan 28th, 2015 - about 10 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 1245252311 NPPES
Maryland Other KCZP BCBS MD

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