BRYAN LEE PHERSON (NPI# 1619162799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619162799 |
| Entity Type | Individual |
| Full Name | BRYAN LEE PHERSON |
| Credential | PA-C |
| Practice Address |
3600 Bette Cato Dr Seward AK 99664 |
| Mailing Address |
3600 Bette Cato Dr Seward AK 99664-9730 |
| Practice Telephone | 9072248171 |
| Practice Fax Number | 9072248180 |
| Mailing Telephone | 9072248171 |
| Mailing Fax Number | 9072248180 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
774 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | MP1638711 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Noble St, Fairbanks, AK 997014922 | 9074582682 | 9074582628 |
| Street Address |
3600 BETTE CATO DR |
| City | SEWARD |
| State | AK |
| Zip Code | 99664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234849 | Jillian Gayle Ryan | Registered Nurse | 3600 Bette Cato Dr, Seward, AK 99664-9730 | 2019-09-19 |
| 1588089056 | Charlotte Boyd | Nurse Practitioner | 3600 Bette Cato Dr, Seward, AK 99664-9730 | 2014-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859566 | Benjamin David Sayers I | Behavior Technician | 508 Madison St., Seward, AK 99664 | 2020-10-20 |
| 1497373997 | Hilary Ann Acovak | Behavior Technician | 226 Brownell St., Seward, AK 99664 | 2020-07-10 |
| 1477182368 | Rebecca Snow | Behavior Technician | Seaview Community Services, 302 Railway Avenue, Seward, AK 99664 | 2020-04-03 |
| 1134764996 | Seaview Community Services | Community/Behavioral Health | 1400 Chamberlain St, Seward, AK 99664 | 2019-11-15 |
| 1811544638 | Melissa Sanders | Behavior Technician | 302 Railway, Seward, AK 99664 | 2019-08-26 |
| 1013403708 | Andra Dawn Woodard | Social Worker | 10599 Fox Cir, Seward, AK 99664 | 2018-07-05 |
| 1275020661 | Sarah Brooke Hermann | Massage Therapist | 500 Adams St. Suite 202, Seward, AK 99664 | 2018-04-20 |
| 1902352206 | Lacuna Family Medicine, Inc. | Clinic/Center | 204 4th Ave, Seward, AK 99664 | 2016-08-28 |
| 1992115893 | Carissa Whatmore | Social Worker | 302 Railway Ave., Seward, AK 99664 | 2014-04-30 |
| 1205265345 | Cora Roberts | Dental Therapist | 201 3rd Avenue, Suite 115, Seward, AK 99664 | 2013-11-08 |
| Find all providers in zip 99664 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790816940 | David W Norcross | Physician Assistant | Spring Creek Correctional Center. Betty Cato Drive, Mile 5 Nash Road, Seward, AK 99664 | 2007-03-08 |
| 1033297650 | Diane Thompson | Physician Assistant | 201 3rd St. 20, Seward, AK 99664 | 2006-11-01 |
| 1821036260 | Jillenne S Mcadam | Physician Assistant | 250 N Columbia Ave, Seward, NE 68434-2226 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634047 | Chelsie Coffman | Physician Assistant | 7300 Klawock Hollis Hwy A, Klawock, AK 99925 | 2020-03-20 |
| 1912549098 | Craig Michael Brumagin | Physician Assistant | 4961 E Mayflower Ln, Wasilla, AK 99654-7708 | 2019-10-10 |
| 1780184929 | Richard Rodd Wehling | Physician Assistant | 18226 Meadow Creek Dr, Eagle River, AK 99577-8252 | 2018-02-14 |
| 1801314596 | Sara Breann Langford | Physician Assistant | 575 Riverstone Way Unit 1, Fairbanks, AK 99709-2939 | 2017-09-01 |
| 1528503687 | Northwoods Family Medicine, Inc | Physician Assistant | 1301 E. Palmer-wasilla Hwy, #400, Wasilla, AK 99654 | 2016-12-28 |
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1770977571 | Audrey Christine Kelley | Physician Assistant | 9150 Jewel Lake Rd # B, Anchorage, AK 99502-5381 | 2015-03-19 |
| 1851799027 | Jennifer Anne Fayette | Physician Assistant | 2741 Debarr Rd Ste C302, Anchorage, AK 99508-2972 | 2014-12-19 |
| 1669898474 | Louis Michael Smith | Physician Assistant | 22301 W Alsop Rd, Wasilla, AK 99623-5023 | 2014-03-17 |
| 1033451703 | Allison Cooper | Physician Assistant | 2310 Peger Rd Suite 105, Fairbanks, AK 99709-4848 | 2013-03-20 |
| 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.