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NPI Code Detail

MEDICARE: BRYAN SCOTT MD

MEDICARE: BRYAN SCOTT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician125.068818IL
2207XS0114XAdult Reconstructive Orthopaedic Surgery Physician291082MA
3207X00000XOrthopaedic Surgery Physician036.165959IL
4207X00000XOrthopaedic Surgery PhysicianDR.0066447CO

General Provider Information

NPI Number : 1285082248
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN SCOTT MD
Provider Business Mailing Address
First Line : 9900 COLUMBIA AVE
Second Line :
City : MUNSTER
State : IN
Zip : 46321-4008
Country : US
Telephone Number : 219-924-3300
Fax Number : 219-922-5424
Provider Business Practice Location Address
First Line : 3021 N SHEFFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4419
Country : US
Telephone Number : 872-843-0550
Fax Number : 872-873-9070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2016
Last Update Date : 03/30/2026

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