Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bryan Henriquez, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710771910

Bryan Henriquez, MD is a Student in an Organized Health Care Education/Training Program in Janesville, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2025.

Licensed in
WI
In the registry since
2025
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

849 Kellogg Ave
Janesville, WI 53546-2808
Phone: (608) 755-7964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 101387-851 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710771910
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2025
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address849 Kellogg Ave, Janesville, WI 53546-2808

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