Provider Demographics
NPI:1891809257
Name:BRIED, JAMES MICHAEL (MD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MICHAEL
Last Name:BRIED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15525 POMERADO RD
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2435
Mailing Address - Country:US
Mailing Address - Phone:858-485-0050
Mailing Address - Fax:858-485-9510
Practice Address - Street 1:15525 POMERADO RD
Practice Address - Street 2:SUITE A-1
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2435
Practice Address - Country:US
Practice Address - Phone:858-485-0050
Practice Address - Fax:858-485-9510
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG62595207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G625950Medicaid
CAW-13301Medicare ID - Type Unspecified
CA00G625950Medicaid