Most Relevant Information
Provider Data
| NPI Number: | 1003298902 |
| Provider Name: | BRYAN RICHARD BROACH M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 080560 |
Most Important Dates
| Enumeration Date: | 06/26/2015 |
| Last Updated: | 07/10/2018 |
Provider Practice Location
1120 15TH ST
AUGUSTA
GA
30912
Practice Location Phone/Fax
| Phone: | 7067218623 |
| Fax: |
Provider Mailing Location
1120 15TH ST # BI1056
AUGUSTA
GA
309120004
Provider Mailing Phone/Fax
| Phone: | 7064465941 |
| Fax: |
Suggested EMR
Internist EMR