Provider Demographics
NPI:1275504755
Name:DELANEY, BRYAN CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:CHRISTOPHER
Last Name:DELANEY
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 1:2270 HILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3808
Mailing Address - Country:US
Mailing Address - Phone:251-666-2213
Mailing Address - Fax:251-660-8037
Practice Address - Street 1:2270 HILLCREST RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3808
Practice Address - Country:US
Practice Address - Phone:251-666-2213
Practice Address - Fax:251-660-8037
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8466207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080060708OtherRAILROAD MEDICARE
000013064Medicare ID - Type Unspecified
C72163Medicare UPIN