Provider Demographics
NPI:1942426507
Name:GEER, BRYON M (DO)
Entity type:Individual
Prefix:DR
First Name:BRYON
Middle Name:M
Last Name:GEER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N BEAZEALE AVENUE
Mailing Address - Street 2:
Mailing Address - City:MOUNT OLIVE
Mailing Address - State:NC
Mailing Address - Zip Code:28365
Mailing Address - Country:US
Mailing Address - Phone:919-658-4954
Mailing Address - Fax:919-731-6534
Practice Address - Street 1:201 N BEAZEALE AVENUE
Practice Address - Street 2:
Practice Address - City:MT. OLIVE
Practice Address - State:NC
Practice Address - Zip Code:28365
Practice Address - Country:US
Practice Address - Phone:919-658-4954
Practice Address - Fax:919-731-6534
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200700229207P00000X
NC2007-00229207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC200700229OtherLICENSE
NC89145HVMedicaid
145HVOtherBLUE CROSS BLUE SHIELD
145HVOtherBLUE CROSS BLUE SHIELD
2403739AMedicare PIN