Wilhelm, Bryan
Wilhelm, Bryan is an individual health care provider with primary practice located at 1510 Sw Nancy Way Ste 2 , Bend OR 97702-3256. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Wilhelm, Bryan can be contacted via phone (541) 385-7129.Contact Information
Primary practice address
1510 Sw Nancy Way Ste 2
Bend OR 97702-3256
Phone: (541) 385-7129
Fax: (541) 385-7138
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | DP00214 | Oregon |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | DP00214 | Oregon |
Profile Details
NPI number | 1427060565 |
---|---|
LBN Legal business name | Wilhelm, Bryan |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 13th, 2006 |
Last updated | Jul 22nd, 2011 - about 14 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 | 1427060565 | NPPES |
Oregon | Other | 865318004 | BLUE CROSS |
Oregon | MEDICAID | 014352 | BLUE CROSS |
Oregon | Other | 20-2456582 | BLUE CROSS |
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