Provider Demographics
NPI:1467065383
Name:NEWMAN, BRYON KEITH SR
Entity Type:Individual
Prefix:MR
First Name:BRYON
Middle Name:KEITH
Last Name:NEWMAN
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 WILMINGTON W CHESTER PIKE STE 200
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9011
Mailing Address - Country:US
Mailing Address - Phone:610-298-1551
Mailing Address - Fax:302-438-9513
Practice Address - Street 1:225 WILMINGTON W CHESTER PIKE STE 200
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9011
Practice Address - Country:US
Practice Address - Phone:610-298-1551
Practice Address - Fax:302-438-9513
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-29
Last Update Date:2020-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide