DR. JAMES WITT BRYAN IV (NPI# 1558326454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558326454 |
| Entity Type | Individual |
| Full Name | DR. JAMES WITT BRYAN IV |
| Credential | MD |
| Practice Address |
1090 Arnold Dr 19 Amds/sgpf Little Rock Air Force Base AR 72099-4933 |
| Mailing Address |
1090 Arnold Dr Little Rock Air Force Base AR 72099-4933 |
| Practice Telephone | 5019877319 |
| Practice Fax Number | 5019871464 |
| Mailing Telephone | 5019877319 |
| Mailing Fax Number | 5019871464 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | C7904 | AR | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
C7904 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 121472001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730219460 | James J Bryan | Dentist | 215 Depot St, Latrobe, PA 15650-1802 | 2007-03-06 |
| 1437206059 | James Austin Bryan | Dentist | 110 Church St, Marlin, TX 76661-2809 | 2007-01-04 |
| 1336240001 | James Goebel Bryan Jr. | Dentist | 103 So Moose St, Morrilton, AR 72110-3425 | 2006-09-26 |
| 1104836139 | James Donald Bryan | Dentist | 27620 Marguerite Pkwy, Suite D, Mission Viejo, CA 92692-3607 | 2006-08-09 |
| 1073584140 | James R Bryan | Family Medicine | 4625 N Lee Hwy, Cleveland, TN 37312-4042 | 2006-01-27 |
| 1255978987 | James E Bryan Iv | Case Manager/Care Coordinator | 2803 Akron Rd, Wooster, OH 44691-7904 | 2019-12-02 |
| 1851810436 | James Bryan | Case Manager/Care Coordinator | 14447 S Bensley Ave, Burnham, IL 60633-2224 | 2017-09-14 |
| 1558634642 | James H Bryan Jr. | Pharmacist | 1141 Beach Dr E, Port Orchard, WA 98366-4937 | 2012-02-20 |
| 1447580204 | James Bryan | Registered Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2009-12-30 |
| 1184775082 | James W. Bryan | Ophthalmology | 510 N Prospect Ave, Suite 305, Redondo Beach, CA 90277-3028 | 2007-01-16 |
| Street Address |
1090 ARNOLD DR 19 AMDS/SGPF |
| City | LITTLE ROCK AIR FORCE BASE |
| State | AR |
| Zip Code | 72099-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437545183 | Christina R Lyon | Family Medicine | 1090 Arnold Dr, Little Rock Air Force Base, AR 72099 | 2015-04-09 |
| 1841692001 | Mara Cole | Physician Assistant | 1090 Arnold Dr, 19th Medical Group, Little Rock Air Force Base, AR 72099-4933 | 2014-09-19 |
| 1982913257 | Jessika Twin Taylor | Dental Hygienist | 1090 Arnold Dr, Little Rock Air Force Base, AR 72099-4933 | 2010-10-04 |
| 1447400668 | Summer Williamson | Optometrist | 1090 Arnold Dr, Little Rock Air Force Base, AR 72099-4933 | 2008-09-24 |
| 1932367208 | Tawnya Lynette Horn | Pharmacist | 1090 Arnold Dr, Little Rock Air Force Base, AR 72099-4933 | 2008-05-23 |
| 1881626950 | Jerri Lee Fletcher | Pharmacist | 1090 Arnold Dr, Little Rock Air Force Base, AR 72099-4933 | 2006-07-07 |
| 1720024102 | Kimberly D Yada | Social Worker | 1090 Arnold Dr, Little Rock Air Force Base, AR 72099-4933 | 2006-06-22 |
| 1841275948 | Charles Joseph Snyder | Dentist | 1090 Arnold Dr, Little Rock Air Force Base, AR 72099-4933 | 2005-12-12 |
| 1134103427 | Charles Manis Friedman | Radiology | 1090 Arnold Dr, Little Rock Air Force Base, AR 72099-4933 | 2005-12-01 |
| 1790779056 | Chase Denton | Physical Therapist | 1090 Arnold Dr, Little Rock Air Force Base, AR 72099-4933 | 2005-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876577 | Little Rock Air Force Base Eye Care | Optometrist | 6th Street, Bldg 787, Little Rock Air Force Base, Little Rock, AR 72099 | 2017-04-25 |
| 1841636206 | National Vision Optical | Technician/Technologist | Bldg 787 6th St., Little Rock, AR 72099 | 2013-05-13 |
| 1134341076 | Keisha Denythia Henry | Psychologist | 314 Medical Group, Life Skills Support Center, 1090 Arnold Drive, Little Rock Afb, AR 72099 | 2007-05-02 |
| 1699213454 | Teryn Ardell Freeman | Physician Assistant | 19th Medical Group, 1090 Arnold Drive, Little Rock, AR 72099 | 2017-02-01 |
| 1730314899 | Andrew Chichick Iv | Military Health Care Provider | 1090 Arnold Drive, 19 Amds/sgpf, Little Rock Afb, AR 72099 | 2009-05-19 |
| 1427316488 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 6 Th St Bldg 787, Little Rock Afb, AR 72099-0001 | 2012-04-27 |
| 1700174828 | Lewis Mark Wiggins | Family Medicine | 19th Medical Group, Jacksonville, AR 72099-0001 | 2011-07-11 |
| 1104052158 | Seth Thomas Tolliver | Nurse Practitioner | 101 Master Sergeant Dan Wassom, Little Rock Afb, AR 72099-0001 | 2009-06-04 |
| 1316171994 | Jeff J. Sandoval | Military Health Care Provider | 19 Amds Sgopf, 1090 Arnold Dr, Little Rock Afb, AR 72099-0001 | 2009-05-11 |
| 1366610198 | Robert Anthony Olivi Jr. | Physician Assistant | 19th Medical Group 1090 Arnold Drive, Little Rock Air Force Base, AR 72099-0001 | 2008-02-14 |
| Find all providers in zip 72099 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962841155 | Bhavesh Joshi | Family Medicine | 2405 Aggie Road, Jonesboro, AR 72401 | 2013-06-20 |
| 1952745655 | Kathryn Lee Nance | Family Medicine | 625 United Dr Ste 350, Conway, AR 72032-7826 | 2013-04-24 |
| 1508877903 | Bowen Hefley Rhodes Stewart Orthopedics, Pa | Family Medicine | 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205 | 2006-08-10 |
| 1578045803 | Bluetail Arkansas Pllc | Family Medicine | 9101 Kanis Rd Ste 200, Little Rock, AR 72205-6455 | 2018-09-04 |
| 1144623679 | Southern Arkansas University | Family Medicine | 100 E University, Magnolia, AR 71753-2181 | 2014-09-29 |
| 1508283995 | Larry Balle II | Family Medicine | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2014-03-24 |
| 1588961338 | Darrin Ashbrooks Md Pa | Family Medicine | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2011-02-14 |
| 1699070649 | Mercy Clinic Fort Smith Communities | Family Medicine | 3501 We Knight Dr, Fort Smith, AR 72903-6248 | 2011-01-24 |
| 1790817427 | Victor Gonzalo Vargas | Family Medicine | 800 Fair Park Blvd, Little Rock, AR 72204 | 2007-03-09 |
| 1144298845 | Thomas E Cheyne | Family Medicine | 3501 We Knight Dr, Fort Smith, AR 72903-6248 | 2006-03-09 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK AIR FORCE BASE |
| Zip Code | 72099 |
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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.