Healthcare Provider Details

I. General information

NPI: 1114910197
Provider Name (Legal Business Name): BRYAN ROBERTSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 06/05/2022
Certification Date: 06/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UPMC HEART AND VASCULAR INSTITUTE 1350 LOCUST ST, FL 1, SUITE 100
PITTSBURGH PA
15219
US

IV. Provider business mailing address

UPMC HEART AND VASCULAR INSTITUTE 3600 MEYRAN AVENUE, FORBES TOWER, SUITE 9055
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-232-9030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD421123
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD421123
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: