Provider Demographics
NPI:1801573050
Name:NORRIS, BRYAN BULLOCK (RRT)
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:BULLOCK
Last Name:NORRIS
Suffix:
Gender:M
Credentials:RRT
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Other - Middle Name:
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Mailing Address - Street 1:741 SIDNEY CHERRY GROVE RD
Mailing Address - Street 2:
Mailing Address - City:CLARENDON
Mailing Address - State:NC
Mailing Address - Zip Code:28432-9379
Mailing Address - Country:US
Mailing Address - Phone:910-234-0804
Mailing Address - Fax:
Practice Address - Street 1:741 SIDNEY CHERRY GROVE RD
Practice Address - Street 2:
Practice Address - City:CLARENDON
Practice Address - State:NC
Practice Address - Zip Code:28432-9379
Practice Address - Country:US
Practice Address - Phone:910-234-0804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279E0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredEmergency Care