Provider Demographics
NPI:1598985095
Name:BRYLAWSKI, BRANDON (M D)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:
Last Name:BRYLAWSKI
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6304 WISCASSET RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-2116
Mailing Address - Country:US
Mailing Address - Phone:301-320-4794
Mailing Address - Fax:
Practice Address - Street 1:6304 WISCASSET RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-2116
Practice Address - Country:US
Practice Address - Phone:301-320-4794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD40871207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine