JAN K BRYDON


Address: 311 W 24th St Ste 305, Erie, PA 16502-2666
Phone: 8144544484

JAN K BRYDON (NPI# 1053479980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053479980
Entity Type Individual
Full Name JAN K BRYDON
Credential MD
Practice Address 311 W 24th St Ste 305
Erie
PA 16502-2666
Practice Telephone 8144544484
Mailing Telephone 8144544484
Enumeration Date 2006-12-04
Last Update Date 2020-09-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology MD029742E PA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
310 French Street, Suite 101, Erie, PA 16507 8144562245 8144562245

Office Location

Street Address 311 W 24TH ST STE 305
City ERIE
State PA
Zip Code 16502-2666

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427033208 Laura J Mcintosh Family Medicine 311 W 24th St Ste 305, Erie, PA 16502-2666 2005-12-14
1285127373 Adesh Vohora Student in an Organized Health Care Education/Training Program 311 W 24th St Ste 305, Erie, PA 16502-2666 2018-06-13
1750730669 Mahwish Khan Family Medicine 311 W 24th St Ste 305, Erie, PA 16502-2666 2016-06-10
1023422219 Mrinalini Panthagani Family Medicine 311 W 24th St Ste 305, Erie, PA 16502 2014-06-16
1366877086 Alexa K Meyer Social Worker 311 W 24th St Ste 305, Erie, PA 16502-2666 2013-09-12
1770921538 Edward Robert Ellis Family Medicine 311 W 24th St Ste 305, Erie, PA 16502-2666 2013-06-13
1528349396 Kathleen A Costanzo Family Medicine 311 W 24th St Ste 305, Erie, PA 16502-2666 2011-09-07
1578525945 Steven A Levy Internal Medicine 311 W 24th St Ste 305, Erie, PA 16502-2666 2006-04-03
1588630362 Timothy D Pelkowski Family Medicine 311 W 24th St Ste 305, Erie, PA 16502-2666 2006-02-23
1184603508 Mark K Vatavuk Family Medicine 311 W 24th St Ste 305, Erie, PA 16502-2666 2006-01-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679064794 Fernando Torres Specialist/Technologist 549 1/2 W 7th St, Erie, PA 16502 2018-05-24
1548782907 Michael Wayne Hankins Jr. Podiatrist 5515 Peach Street, Erie, PA 16502 2017-07-07
1730609041 Michael Greg Palmer Family Medicine 311 West 24th Street 4th Floor, Erie, PA 16502 2017-06-27
1245658723 Amy Adamus Licensed Practical Nurse 1647 Sassafras Street, Erie, PA 16502 2014-04-02
1295011088 Margaret Gay Wardd Licensed Practical Nurse 1757 West 23 Street, Erie, PA 16502 2011-10-25
1659510782 Kristen Kathleen Curry Social Worker 329 W. 10th St., Erie, PA 16502 2009-02-12
1699928416 Kelly Cathleen Kelly-zazado Social Worker 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 2008-10-23
1922149350 Wei-lung Sam Wu Internal Medicine Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 2007-02-09
1003970146 Claire Donch Psychologist 301 West 10th Street, Erie, PA 16502 2006-12-21
1730703117 Vincent Viet Ngo Family Medicine 311 West 24th Street, 4th Floor, Erie, PA 16502 2020-06-02
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740790518 Saint Vincent Medical Education and Research Institute Inc. Dermatology 2501 W 12th St Ste C1, Erie, PA 16505-4527 2017-10-06
1659604205 John P Mraz Dermatology 4950 Tramarlac Ln, Erie, PA 16505-1326 2009-09-15
1093928624 Erika L Nornhold Dermatology 2501 W 12th St Ste 1, Erie, PA 16505-4527 2007-05-08
1376517151 Scott Jit-meng Lim Dermatology 3243 W 26th St, Erie, PA 16506-2507 2006-02-16
1700886801 David R Benjamin Dermatology 3416 State St, Erie, PA 16508-2832 2005-07-29
1427056886 David F. Dieteman Dermatology 3190 Glenwood Park Ave, Erie, PA 16508-2746 2005-07-11
1629516844 Saint Vincent Medical Education and Research Inst. Inc. Dermatology 1910 Sassafras St, Suite 300, Erie, PA 16502-2716 2017-02-08
1689973067 David F. Dieteman, Md, Inc. Dermatology 3190 Glenwood Park Ave, Erie, PA 16508-2746 2011-03-24
1063486876 Scott J.m. Lim, D.o. LLC Dermatology 3243 W 26th St, Erie, PA 16506-2507 2006-02-16
1821099623 Dermatology Assoc of Erie Dermatology 3416 State St, Erie, PA 16508-2832 2005-08-03
Find all providers in ERIE

Competitor

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City ERIE
Zip Code 16502

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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