Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN J FUNKE, MD, MPH
ActiveBRYAN J FUNKE, MD, MPH is a 2083A0100X healthcare provider located in SHAW AFB, South Carolina. NPI 1629055298 is currently active in the NPPES registry. Verify at CMS.
2083A0100X · SHAW AFB, SC
Registration Details
- NPI Number
- 1629055298
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2005 (20.596028806813 yrs)
- Last Updated
- Jan 25, 2023
- Licenses
-
MD31441 (SC)MD31441 (SC)
Practice Information
- Address
-
420 POLIFKA DR BLDG 1042SHAW AFB, SC, 291525100Browse SC providers · Browse ZIP 29152
- Phone
- 8038956746
- Fax
- 8038956746
- Primary Specialty
-
2083A0100X
2083A0100X
- Additional Specialty
- 2083A0100X
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.