MEDICARE: DR. WHITNEY K BRYANT MD, MPH

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	250645	NY
2	207P00000X	Emergency Medicine Physician	35097055	OH

General Provider Information

NPI Number	:	1396941100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WHITNEY K BRYANT MD, MPH

Provider Business Mailing Address
First Line	:	3200 BURNET AVE
Second Line	:	3 SOUTH, BUSINESS CENTER
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3019
Country	:	US
Telephone Number	:	513-558-5281
Fax Number	:	513-558-5791

Provider Business Practice Location Address
First Line	:	234 ALBERT SABIN WAY
Second Line	:	EMERGENCY MEDICINE DEPARTMENT
City	:	CINCINNATI
State	:	OH
Zip	:	45267-2800
Country	:	US
Telephone Number	:	513-558-5281
Fax Number	:	513-558-5791

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

Provider Enumeration Date	:	06/27/2007
Last Update Date	:	11/03/2014

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