Provider Demographics
NPI:1164862801
Name:HESS, BRYAN R (DO)
Entity Type:Individual
Prefix:
First Name:BRYAN
Middle Name:R
Last Name:HESS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:250 FAME AVE STE 206A
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1587
Mailing Address - Country:US
Mailing Address - Phone:717-316-2248
Mailing Address - Fax:717-316-6821
Practice Address - Street 1:2201 BRUNSWICK DR STE 1200
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-8350
Practice Address - Country:US
Practice Address - Phone:717-637-0470
Practice Address - Fax:717-637-4987
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS018587207Q00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine