Provider Demographics
NPI:1013912823
Name:MORRISON, BRYAN K (MD)
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:K
Last Name:MORRISON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4515 SETON CENTER PKWY
Mailing Address - Street 2:SUITE 215
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5290
Mailing Address - Country:US
Mailing Address - Phone:512-231-5506
Mailing Address - Fax:512-406-6216
Practice Address - Street 1:801 E WHITESTONE BLVD
Practice Address - Street 2:BLDG C
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-5028
Practice Address - Country:US
Practice Address - Phone:512-259-3467
Practice Address - Fax:512-406-7303
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2017-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH9551207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4637301OtherMORRISON AETNA PPO
TX4637301OtherMORRISON AETNA HMO
TX8M5190OtherMORRISON BLUE HMO
TX134004410Medicaid
TX8M5190OtherMORRISON BLUE PPO
TXP00166017OtherMORRISONRRB MEDICARE
TX134004409Medicaid
TX134004410Medicaid
TXF10041Medicare UPIN
TXTXB126785Medicare PIN
TX4637301OtherMORRISON AETNA HMO
TX8M5190OtherMORRISON BLUE PPO