Provider Demographics
NPI:1346286176
Name:BILFIELD, BRYAN S (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:S
Last Name:BILFIELD
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 1:319 S. MANNING BLVD.
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-1738
Mailing Address - Country:US
Mailing Address - Phone:518-438-6226
Mailing Address - Fax:518-489-8878
Practice Address - Street 1:319 S. MANNING BLVD.
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-1738
Practice Address - Country:US
Practice Address - Phone:518-438-6226
Practice Address - Fax:518-489-8878
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY112927207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY200043241OtherRAILROAD MEDICARE
NY00437912Medicaid
NYB81724Medicare UPIN
CC6746Medicare PIN