Healthcare Provider Details

I. General information

NPI: 1609717842
Provider Name (Legal Business Name): BRYAN YU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE
BETHESDA MD
20889-0004
US

IV. Provider business mailing address

89 FRIENDFIELD HALL
KIAWAH ISLAND SC
29455-5711
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4290
  • Fax:
Mailing address:
  • Phone: 414-460-9429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: