DR. BRUCE JACKSON BRYAN MD
NPI 1700847050
Surgery in Pinetop, AZ

Active since March 28, 2006
163 W WHITE MOUNTAIN HWY, SUITE D, PINETOP, AZ 85935(928) 367-1200(928) 367-1205 Get Directions Write a Review

NPPES record last updated: August 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bruce Jackson Bryan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRUCE JACKSON BRYAN MD (NPI 1700847050) is an individual surgery provider in Pinetop, Arizona, licensed in Arizona (20232) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1700847050
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. BRUCE JACKSON BRYANCredential: MD
Location Address163 W WHITE MOUNTAIN HWY, SUITE DPinetop, AZ 85935-2850
Mailing AddressPo Box 2850, 163 White Mountain Hwy Suite DPinetop, AZ 85935-2850 · (928) 367-1200 · Fax (928) 367-1205
Fax(928) 367-1205
Sole ProprietorNo
Enumeration DateMarch 28, 2006
Last NPPES UpdateAugust 24, 2007
NPI 1700847050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in AZ · 20232
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
163 W WHITE MOUNTAIN HWY, Pinetop, AZ 85935

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Bryan's NPI number?

The NPI number for Bruce Bryan is 1700847050. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Bruce Bryan located?

Bruce Bryan practices at 163 W White Mountain Hwy Suite D, Pinetop, AZ 85935. The listed phone number is (928) 367-1200.

What is Bruce Bryan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Bruce Bryan was last updated on August 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.