Provider Demographics
NPI:1942426507
Name:GEER, BRYON M (DO)
Entity Type:Individual
Prefix:
First Name:BRYON
Middle Name:M
Last Name:GEER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX K
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27533-9710
Mailing Address - Country:US
Mailing Address - Phone:919-731-6060
Mailing Address - Fax:919-731-6534
Practice Address - Street 1:2700 WAYNE MEMORIAL DR
Practice Address - Street 2:EMERGENCY ROOM
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9494
Practice Address - Country:US
Practice Address - Phone:919-731-6060
Practice Address - Fax:919-731-6534
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200700229207PE0004X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC200700229OtherLICENSE
145HVOtherBLUE CROSS BLUE SHIELD
NC89145HVMedicaid
145HVOtherBLUE CROSS BLUE SHIELD
2403739AMedicare PIN