Provider Demographics
NPI:1396797668
Name:MURPHEY, BRYAN C (MD)
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:C
Last Name:MURPHEY
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 1:11181 HEALTH PARK BLVD
Mailing Address - Street 2:#1165
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-5738
Mailing Address - Country:US
Mailing Address - Phone:239-624-0320
Mailing Address - Fax:239-624-0321
Practice Address - Street 1:11181 HEALTH PARK BLVD
Practice Address - Street 2:#1165
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-5738
Practice Address - Country:US
Practice Address - Phone:239-624-0320
Practice Address - Fax:239-624-0321
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2017-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82773207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14373OtherBCBS
FLP01431304OtherRR MEDICARE
FLE6035WOtherMEDICARE
FLE6035WMedicare PIN
H32821Medicare UPIN