Provider Demographics
NPI:1104826551
Name:BRINDLEY, BRYAN JAMES (MD)
Entity Type:Individual
Prefix:
First Name:BRYAN
Middle Name:JAMES
Last Name:BRINDLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 7366
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56302-7366
Mailing Address - Country:US
Mailing Address - Phone:320-257-5595
Mailing Address - Fax:320-257-5596
Practice Address - Street 1:1990 CONNECTICUT AVE S
Practice Address - Street 2:
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-2554
Practice Address - Country:US
Practice Address - Phone:320-257-5595
Practice Address - Fax:320-257-5596
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN405422085B0100X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP38534OtherHEALTH PARTNERS
MN122377C561OtherUCARE OF MINNESOTA
MN9G974BROtherBLUE CROSS BLUE SHIELD
MN15883585OtherARAZ/ AMERICA'S PPO
MN501216300Medicaid
MN16-00238OtherMEDICA
MN965251016752OtherPREFERRED ONE
MN300086076OtherRAILROAD MEDICARE
MN4111772565OtherTRICARE
MN411772562OtherGREATWEST HEATHCARE
MN122377C561OtherUCARE OF MINNESOTA
MN411772562OtherGREATWEST HEATHCARE