Provider Demographics
NPI:1730299876
Name:PARRENT, BRYAN DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:DAVID
Last Name:PARRENT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 ROCK PRAIRIE RD STE 3000
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-5989
Mailing Address - Country:US
Mailing Address - Phone:979-774-3232
Mailing Address - Fax:979-690-4895
Practice Address - Street 1:1602 ROCK PRAIRIE RD STE 3000
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-5989
Practice Address - Country:US
Practice Address - Phone:979-774-3232
Practice Address - Fax:979-690-4895
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0215208600000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174379101Medicaid
TX8S9020OtherBLUE CROSS BLUE SHEILD
TX8D6017Medicare ID - Type Unspecified
TX8S9020OtherBLUE CROSS BLUE SHEILD