Healthcare Provider Details

I. General information

NPI: 1164629713
Provider Name (Legal Business Name): BRYAN J PLATT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE
BETHESDA MD
20889-0006
US

IV. Provider business mailing address

8901 WISCONSIN AVE
BETHESDA MD
20889-0006
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-2517
  • Fax:
Mailing address:
  • Phone: 301-295-2517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License Number0101257810
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: