DR. MD Wesley Nathan Bryson, NPI 1609255546
Diagnostic Radiology Physician in Louisville, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1609255546
NPI Entity Type Individual
Provider Name DR. MD Wesley Nathan Bryson
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 5129 Dixie Hwy Ste 100, Louisville, KY, US
Provider Mailing Address 660 S Euclid Ave, Cb 8131, Saint Louis, MO, US, 631101010
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. 53575
License State KY
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. MD Wesley Nathan Bryson
5129 Dixie Hwy Ste 100

Louisville, KY, US

Phone: 502-447-8786
Fax: 502-447-8623

Mailing Address

DR. MD Wesley Nathan Bryson
660 S Euclid Ave
Cb 8131
Saint Louis, MO, US
ZIP 631101010
Phone: 314-362-7200
Fax: 314-747-4189

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2085R0202X

Allopathic & Osteopathic Physicians

Radiology

2017044554 MO No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
7100730580 KY MEDICAID 05
300050686 IN MEDICAID 05

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1568107415

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Organization

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Organization

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Organization

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Organization

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PA-C Brittney R. Judhan

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APRN Danny Brent Newsome

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DO John M Fleming

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911 Bypass Rd Bldg A

Pikeville, KY

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