Provider Demographics
NPI:1801836366
Name:BRYANT, CHRISTOPHER SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SCOTT
Last Name:BRYANT
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 1:3438 LAWTON RD STE 2D
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-2948
Mailing Address - Country:US
Mailing Address - Phone:407-751-2868
Mailing Address - Fax:407-904-0410
Practice Address - Street 1:3438 LAWTON RD STE 2D
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-2948
Practice Address - Country:US
Practice Address - Phone:407-751-2868
Practice Address - Fax:407-904-0410
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 122592207VX0201X
ARE3102207VX0201X, 207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME122592OtherMEDICAID LICENSE
FL014828400Medicaid
FL014828400Medicaid