Healthcare Provider Details

I. General information

NPI: 1902801483
Provider Name (Legal Business Name): BRYAN DAVID USLICK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 QUIET CV
FAYETTEVILLE NC
28304-3857
US

IV. Provider business mailing address

PO BOX 87388
FAYETTEVILLE NC
28304-7388
US

V. Phone/Fax

Practice location:
  • Phone: 910-323-2477
  • Fax: 910-323-5931
Mailing address:
  • Phone: 910-323-2477
  • Fax: 910-323-5931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number9501136
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: