Individual provider · NPI-1

Andrew D Bryant, D.O

Family Medicine · Madison, WV

NPI number1194018093
StatusActive
Last updated in NPPESMay 24, 2023

Details

NPI
1194018093
Entity type
Individual (NPI-1)
Name
Andrew D Bryant
Credential
D.O
Sex
Male
Sole proprietor
No
Enumeration date
May 25, 2011
Certification date
May 16, 2023
Last updated
May 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2862WVYes
207Q00000X Family MedicineOT014126PA
207Q00000X Family Medicine34.015525OH

Practice location

701 Madison Ave
Madison, WV 25130-1699

Phone 304-369-1230

Mailing address

701 Madison Ave
Madison, WV 25130-1699

Phone 304-369-1230

Other practice locations

697 Madison Avenue
Madison, WV 25130

Phone 304-369-8826

660a S Main St
Madison, WV 25130-1245

Phone 304-369-4250

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