BRYAN LOPEZ IDC – NPI #1215306675
Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Health Care Provider Taxonomy Code for Military Health Care Provider

BRYAN LOPEZ is a military health care provider located in FPO, AP. NPPES has assigned the NPI number 1215306675 to BRYAN LOPEZ on September 16, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 171000000X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider.

See the complete NPI profile for BRYAN LOPEZ below.

NPI Profile for
BRYAN LOPEZ

NPI Number
1215306675
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRYAN LOPEZ
Credentials
IDC
Primary location
PSC 455 BOX 182
MEDICAL DEPARTMENT, NAVSPECWAUNIT ONE
FPO, AP 96540-1182
Phone: (671) 339-6287 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
171000000X
- Military Health Care Provider (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.