Provider Demographics
NPI:1396798666
Name:BRYAN, JAMES A III (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:BRYAN
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:55 VILCOM CENTER DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1689
Mailing Address - Country:US
Mailing Address - Phone:919-967-4836
Mailing Address - Fax:919-967-6498
Practice Address - Street 1:55 VILCOM CENTER DR
Practice Address - Street 2:SUITE 140
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1689
Practice Address - Country:US
Practice Address - Phone:919-967-4836
Practice Address - Fax:919-967-6498
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2023-06-06
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Provider Licenses
StateLicense IDTaxonomies
NC12652174400000X
NC28823207W00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891100TMedicaid
NC213691JMedicare UPIN
NCD92920Medicare UPIN