DR. LARA BRYAN-REST (NPI# 1144404948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144404948 |
| Entity Type | Individual |
| Full Name | DR. LARA BRYAN-REST |
| Credential | M.D. |
| Practice Address |
341 E Center St #141 Manchester CT 06040-4445 |
| Practice Telephone | 8606461222 |
| Mailing Telephone | 8606461222 |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2012-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
048698 | CT | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
048698 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
341 E CENTER ST #141 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932300225 | Francis Moors Bradley | Radiology | 11 Eaglehead Rd, Manchester, MA 01944-1550 | 2007-05-31 |
| 1902167885 | Carla Alexis De Venecia | Radiology | 185 Queen City Ave, Elliot Breast Health Center, Manchester, NH 03101-7121 | 2012-06-06 |
| 1649573692 | Memorial Hospital, Inc. | Radiology | 210 Marie Langdon Dr, Manchester, KY 40962-6388 | 2010-12-14 |
| 1932338571 | Steven E Kammann | Radiology | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2009-07-02 |
| 1770769515 | Marta Maryam Redjaee | Radiology | 718 Smyth Rd, Manchester, NH 03104-7007 | 2008-01-10 |
| 1639379316 | Todd A. Noce | Radiology | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2007-07-20 |
| 1548376007 | Jennifer A. Januario | Radiology | 718 Smyth Rd, Radiology, Manchester, NH 03104-7004 | 2006-08-21 |
| 1578573606 | Edward G Denstman | Radiology | 71 Haynes St, Manchester, CT 06040 | 2006-08-09 |
| 1730199878 | Thomas E Kilkenny | Radiology | 71 Haynes St, Manchester, CT 06040 | 2006-08-09 |
| 1912917055 | Deepak Bramhavar | Radiology | 71 Haynes St, Manchester, CT 06040 | 2006-08-09 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on DR. LARA BRYAN-REST.
| 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.