DR. BRYAN PHILLIP HENDREN (NPI# 1063730083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063730083 |
| Entity Type | Individual |
| Full Name | DR. BRYAN PHILLIP HENDREN |
| Credential | M.D. |
| Practice Address |
300 W Hospital Rd Fort Gordon GA 30905-5741 |
| Mailing Address |
488 Brigham Trl Augusta GA 30909-6045 |
| Practice Telephone | 7067878883 |
| Mailing Telephone | (706) 787-8883 |
| Mailing Fax Number | 7067872347 |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2017-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD043247 | DC | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD043247 | DC | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD043247 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
300 W HOSPITAL RD |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905-5741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007467 | John Keenan Wilson | Internal Medicine | 300 W Hospital Rd, Building 300, Fort Gordon, GA 30905-5741 | 2005-07-18 |
| 1629687751 | Benjamin Lee Tigges | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-07-24 |
| 1104441179 | Gia-thien H Nguyen | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-06-15 |
| 1184249765 | Roman Avila | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-06-10 |
| 1417572116 | Francesco Anthony Biolzi | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-06-09 |
| 1114568268 | Ryan Sever | Psychologist | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-09-30 |
| 1801446497 | Seth Randall | Nurse Practitioner | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-09-16 |
| 1275188179 | Jason Celestino | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-08-07 |
| 1467011668 | Angelina Kathleen Trush | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-06-11 |
| 1790271989 | Joshua Orszag | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083095178 | William W Chang | Surgery | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2015-06-15 |
| 1962817247 | James Peter Chohonis IIi | Surgery | 300 East Hospital Road, General Surgery, Fort Gordon, GA 30905-5650 | 2014-06-25 |
| 1982947875 | Mark Gerard Ziemba | Surgery | 300 East Hospital Road, Surgical Care Line, Fort Gordon, GA 30905 | 2013-03-29 |
| 1508120882 | Daniel Wayne Bailey | Surgery | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2012-07-01 |
| 1396032470 | Matthew Lewis Pierotti | Surgery | 300 E Hospital Rd, Eisenhower Army Medical Center, Fort Gordon, GA 30905 | 2011-07-08 |
| 1023240108 | Joshua A Scott | Surgery | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2009-08-21 |
| 1558593061 | Pamela L Burgess | Surgery | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2009-08-17 |
| 1841461027 | Robert Douglas Rice | Surgery | 300 Hospital Rd, Dept. General Surgery, Fort Gordon, GA 30905 | 2008-03-17 |
| 1003008236 | Byron James Faler | Surgery | 300 W Hospital Rd, Dept. of General Surgery, Fort Gordon, GA 30905-5650 | 2007-08-12 |
| 1992859102 | Farhan Shoaib Ayubi | Surgery | 300 W Hospital Rd, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5741 | 2007-01-23 |
| Find all providers in FORT GORDON | ||||
| City | FORT GORDON |
| Zip Code | 30905 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.