ROBERT ERIC BRYAN (NPI# 1609090141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609090141 |
| Entity Type | Individual |
| Full Name | ROBERT ERIC BRYAN |
| Credential | MD |
| Practice Address |
143 Follins Ln Saint Simons Island GA 31522-4263 |
| Mailing Address |
Po Box 21709 Saint Simons Island GA 31522-0809 |
| Practice Telephone | 9126347714 |
| Practice Fax Number | 9126347734 |
| Mailing Telephone | 9126347714 |
| Mailing Fax Number | 9126347734 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2016-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
022122 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942599857 | Robert Joseph Bryan Jr. | Counselor | 1616 9th Ave Apt 14, San Diego, CA 92101-2850 | 2011-03-31 |
| 1750535761 | Robert Hays Bryan | Dentist | 805 Market St., Metropolis, IL 62960 | 2008-11-05 |
| 1578591616 | Robert Nick Bryan | Radiology | 1701 Trinity Street, Dell Medical School, Austin, TX 78712-1845 | 2006-06-29 |
| 1093758732 | Robert Taylor Bryan | Dentist | 315 Mcleod St, Big Timber, MT 59011-0843 | 2006-06-13 |
| 1447877667 | Robert Bryan | Counselor | 7265 Saint Claude Ave, Arabi, LA 70032-1552 | 2020-07-03 |
| 1366791790 | Robert Timothy Bryan | Emergency Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2012-08-30 |
| 1306110200 | Robert R Bryan | Pharmacist | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2012-02-24 |
| 1699929877 | Robert A Bryan | Home Health | 2901 216th St, Bayside, NY 11360-2810 | 2008-11-13 |
| 1114136264 | Robert Bryan | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2007-05-22 |
| 1851466379 | Robert Bruce Bryan II | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8364 | 2006-11-21 |
| Street Address |
143 FOLLINS LN |
| City | SAINT SIMONS ISLAND |
| State | GA |
| Zip Code | 31522-4263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639150790 | William J. Davanzo, M.d., P.C. | Specialist | 143 Follins Ln, Saint Simons Island, GA 31522-4263 | 2005-11-07 |
| 1164403234 | Barbara Davanzo, M.d., P.C. | Specialist | 143 Follins Ln, Saint Simons Island, GA 31522-4263 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982186342 | Matthew Mackinnon Gibbs | Specialist/Technologist | 211 Village Dr, St Simons Is, GA 31522 | 2018-09-02 |
| 1770957433 | Jennifer Herrin, Lpc | Community/Behavioral Health | 400 Main Street, Cottage 1, Saint Simons Island, GA 31522 | 2015-11-18 |
| 1508113002 | Ashley Neal Callicutt | Counselor | 301 Sea Island Road, Suite G, St. Simons Island, GA 31522 | 2012-08-14 |
| 1235414103 | Dana D'andrea Duggan | Psychologist | 283 Redfern Village, St. Simons Island, GA 31522 | 2011-10-11 |
| 1528394848 | Nancy Hodges Bowen | Nurse Practitioner | 7000 Wellness Way, Suite 130, St. Simons Island, GA 31522 | 2009-10-21 |
| 1073763215 | John Arthur Hendry | Dentist | 511 Mallery Street, St. Simons Island, GA 31522 | 2008-09-24 |
| 1770775116 | Randolph M. Stevens | Dentist | Coastal Endodontic Associates, 1804 Frederica Rd., Ste B, St. Simons Island, GA 31522 | 2007-08-09 |
| 1689797383 | Angela C Barnard | Nurse Practitioner | 798 Mallery St Apt 2, Saint Simons Island, GA 31522 | 2007-04-09 |
| 1053493486 | Larry D. Daugherty | Dentist | 124 Island Professional Park, St Simons Island, GA 31522 | 2006-10-19 |
| 1134239460 | Joe Neil Garner | Dentist | 288 Redfern Village, St Simons Island, GA 31522 | 2006-08-30 |
| Find all providers in zip 31522 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831598572 | Preferred Treatment Center, LLC | Family Medicine | 108 Corporate Sq Ste A, Dublin, GA 31021-4252 | 2014-08-19 |
| 1073714580 | James R Granger IIi | Family Medicine | 3823 Roswell Rd Ste 201, Marietta, GA 30062-6295 | 2007-05-30 |
| 1588770895 | Melissa Lee Warner | Family Medicine | 310 Black Bear Rdg, Sautee, GA 30571-3500 | 2006-08-21 |
| 1013952852 | William Robert Rout | Family Medicine | 963 Bennock Mill Dr., Augusta, GA 30906 | 2006-06-17 |
| 1184608077 | Michael Cowl Gordon | Family Medicine | 1800 Water Pl Se, Suite 100, Atlanta, GA 30339-2061 | 2005-12-04 |
| 1073512125 | Scott Thomas Miles | Family Medicine | 5155 Ga Highway 40 East, St. Marys, GA 31558 | 2005-07-20 |
| 1891393005 | Jubilee Primary Care PC | Family Medicine | 3312 Heathchase Ln, Suwanee, GA 30024-4639 | 2020-10-12 |
| 1801241559 | Thomas George Savel | Family Medicine | 767 Peachtree Pkwy, Suite 4, Cumming, GA 30041-9348 | 2016-05-02 |
| 1427484963 | Physician Management & Consulting | Family Medicine | 1050 Shiloh Rd Nw, Suite 311, Kennesaw, GA 30144-7194 | 2013-09-16 |
| 1518255777 | Michael C. Gordon Md, LLC | Family Medicine | 4015 S Cobb Dr Se, Suite 220, Smyrna, GA 30080-6303 | 2011-07-21 |
| Find all providers with the same taxonomy | ||||
| City | SAINT SIMONS ISLAND |
| Zip Code | 31522 |
Please comment or provide details below to improve the information on ROBERT ERIC BRYAN.
| 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.