Provider Demographics
NPI:1528042017
Name:STRICKLAND, BRYAN DOUGLAS (MD)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:DOUGLAS
Last Name:STRICKLAND
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 1:301 BROWN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7005
Mailing Address - Country:US
Mailing Address - Phone:334-747-4159
Mailing Address - Fax:
Practice Address - Street 1:2055 E SOUTH BLVD STE 308
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2003
Practice Address - Country:US
Practice Address - Phone:334-747-2390
Practice Address - Fax:334-747-7495
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20907207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-94652OtherBCBS OF ALABAMA
AL51515057OtherBCBS
ALG5684OtherVIVA
AL201310Medicaid
AL009919505Medicaid
AL51553432Medicare ID - Type Unspecified
AL009919505Medicaid