Bryan Leroy Harper, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Glendale, Arizona. His current practice location is
19555 N 59th Ave, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 572-3200.
Bryan Leroy Harper is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063152569.
Physician's Profile
| Full Name | Bryan Leroy Harper |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 19555 N 59th Ave, Glendale, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063152569
- Provider Enumeration Date: 03/31/2022
- Last Update Date: 10/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608255583
- Enrollment ID: I20220623001475
Medical Identifiers
Medical identifiers for Bryan Leroy Harper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063152569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | O-1933 (Idaho) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan Leroy Harper is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Bryan Leroy Harper, DO 3037 N Ann Eve Pl, Tucson, AZ 85716-1548 Ph: (208) 316-3552 | Bryan Leroy Harper, DO 19555 N 59th Ave, Glendale, AZ 85308-6813 Ph: (623) 572-3200 |
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