National Provider Identifier
Bryan K Flagg Jr.
Bryan K Flagg Jr. is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 325-3145.
Profile Overview
- NPI
- 1265129597
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- April 18, 2023
- Last Updated
- April 18, 2023
Practice Location
- 320 N Goodman St
- Rochester, NY 14607-1185
Phone: (585) 325-3145
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1265129597
- Entity Type
- Individual
- Last Name
- Flagg
- First Name
- Bryan
- Middle Name
- K
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Mailing Street Address
- 320 N Goodman St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-1185
- Mailing Country
- US
- Mailing Phone
- (585) 325-3145
- Mailing Fax
- (585) 325-3188
- Practice Street Address
- 320 N Goodman St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1185
- Practice Country
- US
- Practice Phone
- (585) 325-3145
- Practice Fax
- (585) 325-3188
- Enumeration Date
- April 18, 2023
- Last Updated
- April 18, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 18, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)