Provider Demographics
NPI:1225457773
Name:BRYSON, CAMPBELL FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:CAMPBELL
Middle Name:FRANCIS
Last Name:BRYSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:COUPEVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98239-3635
Mailing Address - Country:US
Mailing Address - Phone:360-682-2890
Mailing Address - Fax:360-678-6654
Practice Address - Street 1:205 S MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:COUPEVILLE
Practice Address - State:WA
Practice Address - Zip Code:98239-3635
Practice Address - Country:US
Practice Address - Phone:360-682-2890
Practice Address - Fax:360-678-6654
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60904386208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty