Provider Demographics
NPI:1154669844
Name:HERBEL, BRYON LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYON
Middle Name:LEE
Last Name:HERBEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-4020
Mailing Address - Country:US
Mailing Address - Phone:701-223-2425
Mailing Address - Fax:
Practice Address - Street 1:303 N 4TH ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-4020
Practice Address - Country:US
Practice Address - Phone:701-223-2425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC398182084P0800X
NDPT176612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry