Simmons, Bryan Paul

Simmons, Bryan Paul is an individual health care provider with primary practice located at 176 S Bellevue Blvd Suite 603, Memphis TN 38104-3424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Simmons, Bryan Paul can be contacted via phone (901) 516-8231.

Contact Information

Primary practice address
176 S Bellevue Blvd Suite 603 Memphis TN 38104-3424
Fax: (901) 516-8249
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD 15503 Tennessee

Profile Details

NPI number 1619971637
LBN Legal business name Simmons, Bryan Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Jun 21st, 2010 - about 15 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 1619971637 NPPES
Arkansas Other E0615 AR LICENSE
Arkansas MEDICAID 3020692 AR LICENSE

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