| Bryan R Fine, MD | |
|
111 Michigan Ave Nw, Washington, DC 20010-2978 | |
| (202) 884-4177 | |
| Not Available |
| Full Name | Bryan R Fine |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 111 Michigan Ave Nw, Washington, District Of Columbia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861574212 | NPI | - | NPPES |
| 5875196 | Medicaid | VA | |
| 434050700 | Medicaid | MD | |
| 034078600 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | MD33171 (District Of Columbia) | Secondary |
| 208000000X | Pediatrics | MD33171 (District Of Columbia) | Primary |
| Entity Name | Childrens Specialty Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
| Entity Name | Childrens Hospital Of The Kings Daughters Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578954590 PECOS PAC ID: 0941265284 Enrollment ID: O20150623001707 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan R Fine, MD 2300 18th St Nw Apt 304, Washington, DC 20009-1898 Ph: (202) 368-6336 | Bryan R Fine, MD 111 Michigan Ave Nw, Washington, DC 20010-2978 Ph: (202) 884-4177 |
Dr. Talita Michelle Jordan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Michigan Ave Nw, Washington, DC 20010 Phone: 202-476-5000 | |
Yue-hin Loke, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 111 Michigan Ave Nw, W3.5, 600, Washington, DC 20010 Phone: 202-476-3670 | |
Elshadey Yayehyerade Bekele, Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Michigan Ave Nw, Washington, DC 20010 Phone: 301-565-4279 | |
Jia Liu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Michigan Ave Nw, Washington, DC 20010 Phone: 202-476-5000 | |
Dr. Charles John Billington Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Michigan Ave Nw, W3.5, 600, Washington, DC 20010 Phone: 202-476-3670 Fax: 202-476-4741 | |
Dr. Joy Marie Yuen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Michigan Ave Nw, Washington, DC 20010 Phone: 202-476-5000 | |
Lindsey Szymanski, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Michigan Ave Nw, Washington, DC 20010 Phone: 888-884-2327 |