1063499614

Everything you always wanted to know about DR. BRYAN L CHARLES M.D. but were afraid to ask.

DR. BRYAN L CHARLES M.D.

You can also download the this 1063499614 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. BRYAN L CHARLES M.D.
Gender:
Male
Enumeration date:
2005-12-26
Last update date:
2012-07-17
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
592-15571 Other BLUE CROSS BLUE SHIELD AL
131504 Medicaid none AL
592-15573 Other BLUE CROSS BLUE SHIELD AL
003998200 Medicaid none FL
00124421 Medicaid none MS
14FJ0 Other BLUE CROSS BLUE SHIELD FL
592-15574 Other BLUE CROSS BLUE SHIELD AL
131501 Medicaid none AL
131503 Medicaid none AL

Taxonomies

Taxonomy State License Number Primary?
207RP1001X Pulmonary Disease FL ME110790 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 8504357448
Practice Location Address Telephone Number 8504357448
Mailing Address Fax Number 8504353156
Practice Location Address Fax Number 8504353156

Addresses

Type Address City State Postal Country
Mailing Address 435 AIRPORT BLVD PENSACOLA FL 32503 FL
Practice Location Address 435 AIRPORT BLVD PENSACOLA FL 32503 FL

Other NPI Records that share a phone number

NPI Name Address State City
1134509284 ELSAS, LAUREN
Individual
435 AIRPORT BLVD FL PENSACOLA
1184872103 WILSON, LEAH
Individual
435 AIRPORT BLVD FL PENSACOLA
1295717015 SCOTT, MARK
Individual
435 AIRPORT BLVD FL PENSACOLA
1295756104 PULMONARY CRITICAL CARE & SLEE
Organization
435 AIRPORT BLVD FL PENSACOLA
1427072412 RAO, RAMMOHAN
Individual
435 AIRPORT BLVD FL PENSACOLA
1629521067 SAUNDERS, KATHARINE
Individual
435 AIRPORT BLVD FL PENSACOLA
1699799692 WADE, JOHN
Individual
435 AIPORT BLVD. FL PENSACOLA
1902827819 GARY, JOHN
Individual
435 AIRPORT BLVD FL PENSACOLA
1992941900 SIYAMWALA, MUNAF
Individual
435 AIRPORT BLVD FL PENSACOLA

Other NPI Records that share an address

NPI Name Address State City
1134509284 ELSAS, LAUREN
Individual
435 AIRPORT BLVD FL PENSACOLA
1184872103 WILSON, LEAH
Individual
435 AIRPORT BLVD FL PENSACOLA
1295717015 SCOTT, MARK
Individual
435 AIRPORT BLVD FL PENSACOLA
1295756104 PULMONARY CRITICAL CARE & SLEE
Organization
435 AIRPORT BLVD FL PENSACOLA
1427072412 RAO, RAMMOHAN
Individual
435 AIRPORT BLVD FL PENSACOLA
1629521067 SAUNDERS, KATHARINE
Individual
435 AIRPORT BLVD FL PENSACOLA
1902827819 GARY, JOHN
Individual
435 AIRPORT BLVD FL PENSACOLA
1992941900 SIYAMWALA, MUNAF
Individual
435 AIRPORT BLVD FL PENSACOLA