DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THORNTON E BRYAN III, MD

Active

DR. THORNTON E BRYAN III, MD is a Family Medicine healthcare provider located in BOISE, Idaho. NPI 1003808924 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BOISE, ID

Registration Details

NPI Number
1003808924
Provider Type
Individual
Gender
Male
NPI Issued
Aug 17, 2005 (20.969494331639 yrs)
Last Updated
Sep 26, 2014
Licenses
MD0000027731 (TN)
MD.204465 (LA)
M12455 (ID)

Practice Information

Address
701 E PARKCENTER BLVD
BOISE, ID, 837066528
Browse ID providers · Browse ZIP 83706
Phone
2083816500
Fax
2083816505
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in BOISE, ID

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.