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Contact Information

BRYANT HALIBURTON, MD
110 IRVING ST NW
WASHINGTON, DC20010-2976
 Phone: 301-946-5100
 Fax: 301-929-0348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for BRYANT HALIBURTON · (Male)

NPI # 1417068115
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 08/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • DC License # MD034253
  • GA License # 58606
  • PA License # MD428012
  • DC Medicaid 036101900
  • MD Medicaid 002045100
  • VA Medicaid 010119600
  • DC Other 3627348 AETNA HMO
  • DC Other 7262589 AETNA NONHMO
  • DC Other 0157 CAREFIRST BCBS
  • DC Other 243937 KAISER
  • DC Other 2126003 MAMSI
  • DC Other 674292 NCPPO
  • VA Other 144796 ANTHEM BCBS
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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