Upham, Bryan D
Upham, Bryan D is an individual health care provider with primary practice located at 1 University Of New Mexico Unm Department Of Emergency Medicine, Msc10 5560, Albuquerque NM 87131-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Upham, Bryan D can be contacted via phone (505) 272-5062.Contact Information
Primary practice address
1 University Of New Mexico Unm Department Of Emergency Medicine, Msc10 5560
Albuquerque NM 87131-0001
Phone: (505) 272-5062
Fax: (505) 272-6503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD424533 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | MD424533 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | MD2007-0577 | New Mexico |
Profile Details
| NPI number | 1982624136 |
|---|---|
| LBN Legal business name | Upham, Bryan D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Sep 14th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982624136 | NPPES |
| New Jersey | MEDICAID | 0089869 | |
| New Jersey | MEDICAID | 101460563 |
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