MR. BRYAN JAY BURROUGHS (NPI# 1457784647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457784647 |
| Entity Type | Individual |
| Full Name | MR. BRYAN JAY BURROUGHS |
| Other Name | BRYAN J BURROUGHS |
| Credential | NURSE PRACTIONER |
| Practice Address |
2 Coulter Rd Clifton Springs NY 14432-1122 |
| Mailing Address |
42 Milton St Rochester NY 14619-1304 |
| Practice Telephone | 3154629561 |
| Mailing Telephone | 5853190785 |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F4022251 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1161 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 42 Milton St, Rochester, NY 146191304 | 5853190785 |
| Street Address |
2 COULTER RD |
| City | CLIFTON SPRINGS |
| State | NY |
| Zip Code | 14432-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376531590 | Ileana Hernandez | Internal Medicine | 2 Coulter Rd, Clifton Springs, NY 14432 | 2005-10-11 |
| 1033726377 | Maribeth Faith Gee | Physical Therapist | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2020-09-30 |
| 1679110050 | Adm Williamson | Physical Therapist | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2019-12-05 |
| 1457998924 | Suzanne Clements | Physical Therapist | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2019-12-04 |
| 1427699891 | Angela M Burd | Social Worker | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2019-10-07 |
| 1275183774 | Kelly Ann Maloney | Physical Therapist | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2019-09-17 |
| 1215580337 | Leah Brown | Student in an Organized Health Care Education/Training Program | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2019-07-17 |
| 1497314652 | Clifton Springs Sanitarium Co | Pharmacy | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2019-06-11 |
| 1104483858 | Mara Elizabeth Schroeder | Physician Assistant | 2 Coulter Rd, Clifton Springs, NY 14432 | 2019-05-28 |
| 1528625530 | Susan Orego | Registered Nurse | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2019-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982035259 | David Roemer | Psychiatry & Neurology | 28 E Main Street, Clifton Springs, NY 14432 | 2013-12-11 |
| 1477821122 | Margaret Lewis Carlson | Registered Nurse | 1510 Rt 488, Clifton Springs, NY 14432 | 2011-12-09 |
| 1063698769 | Debra J Gates | Nurse Practitioner | Rrhs Clifton Springs Hospital and Clinic - Endocrine, 2 Coulter Rd, Clifton Springs, NY 14432 | 2008-01-14 |
| 1154457042 | Elaine M. Allen | Massage Therapist | 31 Pleasant Street, Clifton Springs, NY 14432 | 2007-02-26 |
| 1568514271 | Tracy Ford | Physical Therapist | 440 Clifton Springs Professional Park, Clifton Springs, NY 14432 | 2007-01-16 |
| 1265482400 | Lynn M Sievert | Internal Medicine | 6 Ambulance Drive, Clifton Springs, NY 14432 | 2006-05-10 |
| 1366434011 | Finger Lakes Area Counseling and Recovery Agency, Inc. | Clinic/Center | 28 E Main St, Clifton Springs, NY 14432 | 2005-08-18 |
| 1972024602 | Andrea L Nichols | Specialist/Technologist, Other | 210 Clifton Springs Professional Park, Clifton Springs, NY 14432 | 2017-07-03 |
| 1538689435 | Leigh Battin | Case Manager/Care Coordinator | 210 Clifton Springs Professional Park, Clifton Springs, NY 14432 | 2017-06-21 |
| 1568883973 | Elizabeth Russo | Registered Nurse | 71 Kendall St, Clifton Springs, NY 14432 | 2014-01-02 |
| Find all providers in zip 14432 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | CLIFTON SPRINGS |
| Zip Code | 14432 |
Please comment or provide details below to improve the information on MR. BRYAN JAY BURROUGHS.
| 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.