Provider Demographics
NPI:1750336376
Name:BRYSON, KAREN FRANCES (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:FRANCES
Last Name:BRYSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:785 5TH AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4218
Practice Address - Street 1:46 WALNUT BOTTOM RD STE 200
Practice Address - Street 2:
Practice Address - City:SHIPPENSBURG
Practice Address - State:PA
Practice Address - Zip Code:17257-8219
Practice Address - Country:US
Practice Address - Phone:717-532-4148
Practice Address - Fax:717-532-3561
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD424057207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001619031OtherHIGHMARK BLUE SHIELD
PA1007307260034OtherMEDICAID GROUP #
PA101199454Medicaid
11303694OtherCAQH
PA8375692OtherAETNA HMO
PA867633OtherMEDICARE GROUP #
PA7664638OtherAETNA NON-HMO