IndividualActive
Bryan Funke, MD, MPH
NPI 1629055298 · Aerospace Medicine Physician · Shaw Afb, SC
Provider details
- NPI number
- 1629055298
- Entity type
- Individual
- Primary specialty
- Aerospace Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- License
- MD31441 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
420 Polifka Dr Bldg 1042
Shaw Afb, SC 29152-5100
Phone: (803) 895-6746
Fax: (803) 895-6746
Approximate (ZIP-level) locationGet directions
Mailing address
420 Polifka Dr Bldg 1042
Shaw Afb, SC 29152-5100
Registry dates
- Enumerated
- 2005-12-27
- Last updated
- 2023-01-25
- Certified
- 2023-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.