RICHARD G BRYAN (NPI# 1366428120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366428120 |
| Entity Type | Individual |
| Full Name | RICHARD G BRYAN |
| Credential | MD |
| Practice Address |
120 Dudley St Suite 303 Providence RI 02905-2436 |
| Practice Telephone | 4013697773 |
| Practice Fax Number | 4013697336 |
| Mailing Telephone | 4013697773 |
| Mailing Fax Number | 4013697336 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2017-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 225844 | MA | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | MD11942 | RI | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
225844 | MA | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
MD11942 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NEIGHBORHOOD MA | 0037063 | 01 |
| RI | UNITED | 050493136 | 01 |
| RI | AETNA | 1147102 | 01 |
| RI | 7058056 | 05 | |
| RI | RAILROAD MEDICARE | P00266943 | 01 |
| MA | 2126478 | 05 | |
| RI | NEIGHBORHOOD RI | 31547 | 01 |
| RI | MASS BLUE SHIELD | J40022 | 01 |
| RI | CIGNA | 6411654 | 01 |
| RI | RI BLUE SHIELD | 26587 | 01 |
| RI | TUFTS | 495317 | 01 |
| RI | HARVARD | AA43800 | 01 |
| MA | 9004425 | 05 | |
| RI | BLUE CHIP | 412894 | 01 |
| RI | TUFTS GROUP # | 603940 | 01 |
| RI | 9001520 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235550526 | Richard James Bryan | Counselor | 567 N 2620 W, Provo, UT 84601-1187 | 2014-01-03 |
| 1013929363 | Richard Karl Bryan | Chiropractor | 2105 N Southport Ave, Suite #208, Chicago, IL 60614-4069 | 2006-08-13 |
| 1609872506 | Richard Armond Bryan | Radiology | 1415 North Loop W, Ste 820, Houston, TX 77008-1664 | 2005-06-24 |
| 1508952953 | Richard M Bryan | Internal Medicine | 161 Carey Rd, Queensbury, NY 12804-7821 | 2006-10-05 |
| 1033101639 | Richard H Bryan Jr. | Internal Medicine | 645 N Arlington Ave Ste 555, Reno, NV 89503 | 2005-08-19 |
| Street Address |
120 DUDLEY ST SUITE 303 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-2436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538154703 | Yoash R Enzer | Ophthalmology | 120 Dudley St, Suite 104, Providence, RI 02905-2436 | 2005-09-14 |
| 1538693023 | Donna O'neil | Ophthalmology | 120 Dudley St, Suite 104, Providence, RI 02905-2436 | 2017-04-12 |
| 1316114820 | Kathleen Fizgerald, Md | Obstetrics & Gynecology | 120 Dudley St, Suite 305, Providence, RI 02905-2436 | 2008-05-14 |
| 1548442338 | Philip R Rizzuto, Md Ltd | Ophthalmology | 120 Dudley St, Suite 301, Providence, RI 02905-2436 | 2007-12-04 |
| 1023290939 | Michael E. Migliori, Md Facs, Ltd | Ophthalmology | 120 Dudley St, Suite 301, Providence, RI 02905-2436 | 2007-12-03 |
| 1861694069 | Robert H. Janigian Jr. Md LLC | Ophthalmology | 120 Dudley St, Suite 303, Providence, RI 02905-2436 | 2007-06-01 |
| 1770689002 | Chad P. Nevola, Md, Inc. | Pediatrics | 120 Dudley St, Suite 105, Providence, RI 02905-2436 | 2006-09-15 |
| 1033130224 | Mary Ann C Passero | Allergy & Immunology | 120 Dudley St, Suite 203, Providence, RI 02905-2436 | 2006-07-22 |
| 1881614907 | Kathleen Fitzgerald | Obstetrics & Gynecology | 120 Dudley St, Providence, RI 02905-2436 | 2006-07-20 |
| 1689657306 | Prakash Sampath | Neurological Surgery | 120 Dudley St, Providence, RI 02905-2436 | 2005-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316265259 | Melissa Ann Simon | Ophthalmology | 2 Dudley St Ste 505, Providence, RI 02905-3249 | 2010-05-16 |
| 1023268018 | Irene M Lee Md PC | Ophthalmology | 903 Providence Pl, Apartment 362, Providence, RI 02903-7000 | 2008-09-25 |
| 1548426661 | Nicholas Dushku | Ophthalmology | 338 Choke Cherry Ln, Providence, UT 84332-9513 | 2008-07-29 |
| 1174670806 | King Wai To | Ophthalmology | One Hoppin Street, Suite 202, Providence, RI 02903-4141 | 2007-01-04 |
| 1659310738 | Andrew Ginn Bong Young | Ophthalmology | 1 Hoppin St Ste 202, Providence, RI 02903-4141 | 2006-06-05 |
| 1710950142 | Philip R Rizzuto | Ophthalmology | 120 Dudly St, Suite 301, Providence, RI 02905 | 2006-02-08 |
| 1972589745 | Robert Jeffrey Hofmann | Ophthalmology | 150 East Manning St., Providence, RI 02906 | 2005-12-22 |
| 1033109111 | Jason Edward Karo | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2005-10-28 |
| 1538154703 | Yoash R Enzer | Ophthalmology | 120 Dudley St, Suite 104, Providence, RI 02905-2436 | 2005-09-14 |
| 1467458331 | Paul B Greenberg | Ophthalmology | One Randall Square, Suite 203, Providence, RI 02904-4928 | 2005-06-24 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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| 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.