Healthcare Provider Details

I. General information

NPI: 1134668056
Provider Name (Legal Business Name): BRYAN GREGORY ADAMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2017
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LANDSTUHL REGIONAL MEDICAL CENTER DR. HITZELBERGER STRASSE, ATTN: DR. BRYAN ADAMS (ORTHO)
LANDSTUHL RHEINLAND-PFALZ
66849
DE

IV. Provider business mailing address

LANDSTUHL REGIONAL MEDICAL CENTER DR. HITZELBERGER STRASSE, ATTN: DR. BRYAN ADAMS (ORTHO)
LANDSTUHL RHEINLAND-PFALZ
66849
DE

V. Phone/Fax

Practice location:
  • Phone: 314-590-5762
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number31215
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number31215
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: