Dr. Bryan Richard Broach, M.D.
Internal Medicine in Augusta, GA. Individual provider (NPI-1).
NPI number1003298902
StatusActive
Last updated in NPPESJul 10, 2018
Details
- NPI
- 1003298902
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bryan Richard Broach
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2015
- Last updated
- Jul 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 080560 | GA | Yes |
| 207R00000X | Internal Medicine | 7539 | GA |
Practice location
1120 15th StAugusta, GA 30912
Phone 706-721-8623
Mailing address
1120 15th St # Bi1056Augusta, GA 30912-0004
Phone 706-446-5941
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