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Contact Information

BRYAN J FUNKE, MD, MPH
420 POLIFKA DR BLDG 1042
SHAW AFB, SC29152-5100
 Phone: 803-895-6746
 Fax: 803-895-6746
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Aerospace Medicine

2083A0100X 84 Physician/Preventive Medicine
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for BRYAN J FUNKE · (Male)

NPI Number 1629055298
Status Active
Credentials MD, MPH
Entity Individual
Enumeration date 12/27/2005
Last updated 01/25/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • SC License # MD31441
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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