DR. BRYAN COTHREN (NPI# 1598144800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598144800 |
| Entity Type | Individual |
| Full Name | DR. BRYAN COTHREN |
| Credential | M.D. |
| Practice Address |
3100 Tongass Ave Ketchikan AK 99901 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
| Practice Telephone | 9072287660 |
| Practice Fax Number | 9072288549 |
| Mailing Telephone | 3607291462 |
| Mailing Fax Number | 3607293104 |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
142879 | AK | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
PGY.202963 | LA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1542 Tulane Ave, New Orleans, LA 701122865 | 5045686004 | 5045686006 |
| Street Address |
3100 TONGASS AVE |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720250 | Alan L Christensen | Obstetrics & Gynecology | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2005-06-16 |
| 1528544822 | Peacehealth Ketchikan Medical Center | Medicare Defined Swing Bed Unit | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2018-07-19 |
| 1710337381 | Ian Dobbe | Family Medicine | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2016-06-15 |
| 1073977443 | Michael Sheflo | Internal Medicine | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2016-04-11 |
| 1093145567 | Catherine Henderson | Nurse Practitioner | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2013-11-20 |
| 1003169434 | Urology Northwest, Ps | Urology | 3100 Tongass Ave, 3rd Floor Visiting Clinic, Ketchikan, AK 99901-5746 | 2012-10-23 |
| 1821374497 | Deborah M O'loane | Nurse Practitioner | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2011-10-27 |
| 1215239595 | Nes Washington, Inc. | Emergency Medicine | 3100 Tongass Ave, Ketchikan, AK 99901 | 2010-11-19 |
| 1447562921 | Victor Chen | Psychiatry & Neurology | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2010-07-13 |
| 1336469469 | Leslie Amanda Locklear | Nurse Practitioner | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2010-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427085760 | Wynelle R Snow | Psychiatry & Neurology | 21 Jefferson St, Suite 201, Ketchikan, AK 99901-5875 | 2006-06-26 |
| 1447562921 | Victor Chen | Psychiatry & Neurology | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2010-07-13 |
| 1770752503 | Ronald A Weisner | Psychiatry & Neurology | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2008-02-26 |
| 1245454487 | Mahija Mungara | Psychiatry & Neurology | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629611058 | Karen Ni LLC | Psychiatry & Neurology | 104 Center Ave Ste 202, Kodiak, AK 99615-6393 | 2019-10-17 |
| 1942781562 | Anchorage Psychiatry | Psychiatry & Neurology | 1120 Huffman Rd Ste 24, Anchorage, AK 99515-3516 | 2018-08-22 |
| 1114454808 | Tms Center of Alaska LLC | Psychiatry & Neurology | 1981 E Palmer Wasilla Hwy, 230, Wasilla, AK 99654-7289 | 2017-05-12 |
| 1821453937 | Dr, Deborah Guris LLC | Psychiatry & Neurology | 15630 Stanwood Cir, Anchorage, AK 99516-4866 | 2015-12-17 |
| 1669883146 | Amber Benton | Psychiatry & Neurology | 4005-4007 602nd St, Fort Wainwright, AK 99703 | 2014-05-18 |
| 1932543691 | Cheryl Hodges Md | Psychiatry & Neurology | 1365 E Parks Hwy, Suite 202, Wasilla, AK 99654-8284 | 2013-04-24 |
| 1225378664 | Shirley Ann Saucerman | Psychiatry & Neurology | 336 W 10th Ave, Anchorage, AK 99501-3501 | 2013-02-21 |
| 1336408335 | Melinda M Hansen | Psychiatry & Neurology | 4501 Diplomacy Drive, Southcentral Foundation, Anchorage, AK 99508-0000 | 2012-05-10 |
| 1912134420 | Donald Jermome Kosatka | Psychiatry & Neurology | Building 4066 602nd Street, Bassett Army Community Hospital, Fort Wainwright, AK 99705 | 2009-06-11 |
| 1548420920 | Willow, LLC | Psychiatry & Neurology | 920 E 72nd Ave, Anchorage, AK 99518-2810 | 2008-06-10 |
| Find all providers with the same taxonomy | ||||
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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.