Gateway Family Medicine

LBN: Timothy C. Bryan, Md, Plc
Gateway Family Medicine is an health care organization with primary practice located at 4365 E Pecos Rd Suite 134, Gilbert AZ 85295-8053. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Timothy C. Bryan, Md, Plc can be contacted via phone (480) 840-9155, or through Bryan, Timothy C via phone (480) 840-9155.

Contact Information

Primary practice address
4365 E Pecos Rd Suite 134 Gilbert AZ 85295-8053
Phone: (480) 840-9155
Fax: (480) 840-9320
Website:
Map and Directions
Authorized official contact:
Name: Bryan, Timothy C Doctor of Medicine (MD)
Phone: (480) 840-9155

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35487 Arizona

Profile Details

NPI number 1124224126
LBN Legal business name Timothy C. Bryan, Md, Plc
DBA Doing business as Gateway Family Medicine
Authorized official Bryan, Timothy C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2007
Last updated Dec 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124224126 NPPES
Arizona MEDICAID 104591

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