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General NPI Number Information
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NPI Number | 1104866672
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Entity Type | Individual
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Provider Name | BRYAN C HUGHES MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1650 NE GRAND AVE STE 201
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City | LEES SUMMIT
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State | MO
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Zip | 64086-6042
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Country | US
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Telephone | 888-701-4661
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Fax | 888-239-2595
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Provider Business Mailing Address
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Address Line | 187 N CHURCH ST STE 201
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City | SPARTANBURG
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State | SC
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Zip | 29306-5154
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Country | US
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Telephone | 800-932-2738
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Fax | 888-761-8483
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0445752
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2006009612
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License Number State | MO
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