Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRYAN MICHAEL BUMGARDNER, LPN
Active Sole ProprietorMR. BRYAN MICHAEL BUMGARDNER, LPN is a Licensed Practical Nurse healthcare provider located in SUGAR GROVE, Ohio. NPI 1184938292 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · SUGAR GROVE, OH
Registration Details
- NPI Number
- 1184938292
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2010 (15.856371449194 yrs)
- Last Updated
- Jul 30, 2010
- License
-
PN.118223M-IV (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4250 CHICKEN COOP RDSUGAR GROVE, OH, 431559725Browse OH providers · Browse ZIP 43155
- Phone
- 7407468415
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
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.