Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAMES WITT BRYAN IV, MD
Active Sole ProprietorDR. JAMES WITT BRYAN IV, MD is a Sports Medicine healthcare provider located in LITTLE ROCK AIR FORCE BASE, Arkansas. NPI 1558326454 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · LITTLE ROCK AIR FORCE BASE, AR
Registration Details
- NPI Number
- 1558326454
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2006 (20.289020113768 yrs)
- Last Updated
- Mar 11, 2024
- Licenses
-
C-7904 (AR)C-7904 (AR)C7904 (AR)C7904 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1090 ARNOLD DR19 AMDS/SGPFLITTLE ROCK AIR FORCE BASE, AR, 720994933Browse AR providers · Browse ZIP 72099
- Phone
- 5019877319
- Fax
- 5019871464
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Sports Medicine
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.