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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447745179

Dr. Jericho Bryan Park, MD is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Registered with an NPI since 2018.

In the registry since
2018
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Fort Worth, TX

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1447745179
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2018
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024

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