MEDICARE: DR. SUZETTE FINK BRYAN 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
1	207P00000X	Emergency Medicine Physician	25734	NE
2	2085R0202X	Diagnostic Radiology Physician	MD171297	OR
3	207P00000X	Emergency Medicine Physician	2009-01236	NC
4	2085R0202X	Diagnostic Radiology Physician	52030	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356554539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUZETTE FINK BRYAN MD

Provider Business Mailing Address
First Line	:	28416 N 52ND PL
Second Line	:
City	:	CAVE CREEK
State	:	AZ
Zip	:	85331-3419
Country	:	US
Telephone Number	:	402-671-8300
Fax Number	:

Provider Business Practice Location Address
First Line	:	28416 N 52ND PL
Second Line	:
City	:	CAVE CREEK
State	:	AZ
Zip	:	85331-3419
Country	:	US
Telephone Number	:	402-671-8300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	07/26/2024

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