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

Dr. Bruce Jackson Bryan, MD

Individual provider Surgery Physician · NPI 1700847050

Dr. Bruce Jackson Bryan, MD is a Surgery Physician in Pinetop, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

163 W White Mountain Hwy Ste D
Pinetop, AZ 85935-2850
Phone: (928) 367-1200
Fax: (928) 367-1205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 20232 (AZ)

Record details

NPI number1700847050
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2006
Last updated in NPPESAugust 24, 2007
Mailing addressPo Box 2850, 163 White Mountain Hwy Suite D, Pinetop, AZ 85935-2850