DR. ROGER BRYANT (NPI# 1760559918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760559918 |
| Entity Type | Individual |
| Full Name | DR. ROGER BRYANT |
| Credential | PSY.D. |
| Practice Address |
1683 Gilbert St Ste 100 Nmcp - Sarp Norfolk VA 23511-2731 |
| Mailing Address |
2104 Waters Edge Ln Suffolk VA 23435-2858 |
| Practice Telephone | 7574448506 |
| Mailing Telephone | 7576865865 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
691 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629246152 | Roger Lynn Bryant | Dentist | 14461 Ne 23rd Street, Choctaw, OK 73020-0715 | 2008-02-19 |
| 1326117482 | Roger Bryant | Dentist | 25882 Orchard Lake Rd Ste 105, Farmington Hills, MI 48336-1294 | 2006-11-06 |
| 1851331003 | Roger Carl Bryant | Nurse Anesthetist, Certified Registered | 906 Judson Rd, Longview, TX 75601-5113 | 2006-06-07 |
| Street Address |
1683 GILBERT ST STE 100 NMCP - SARP |
| City | NORFOLK |
| State | VA |
| Zip Code | 23511-2731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841445665 | Eric Jerome Pauli | Registered Nurse | 1683 Gilbert St Ste 100, Norfolk, VA 23511-2731 | 2008-11-20 |
| 1992965875 | David Scott Bockelman | Military Health Care Provider | 1683 Gilbert St Ste 100, Norfolk, VA 23511-2731 | 2008-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1578059481 | Hillary Anne Diffee | Dentist | Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2018-07-03 |
| 1154860237 | Alexander Blau | General Practice | 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 | 2017-02-22 |
| 1205188307 | Agnes Bautista Banias | Dental Hygienist | 1647 Admiral Taussig Blvd Br Health Clinic, Naval Medical Center Portsmouth, Norfolk, VA 23511 | 2012-10-12 |
| 1891052676 | Conor Francis Hynes | Surgery | 1530 Gilbert St Ste 2000, Norfolk, VA 23511 | 2012-04-18 |
| 1871867747 | Brian Joseph Kennerley | Surgery | U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 | 2012-02-23 |
| 1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
| 1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
| 1245480854 | Vanessa O Hofilena | Dentist | 1647 Admiral Taussig Boulevard, Naval Medical Center Portsmouth - Dental Center, Norfolk, VA 23511 | 2008-09-19 |
| 1780833954 | Cecilia M Brownblake | Dentist | 1647 Admiral Taussig Blvd., Norfolk, VA 23511 | 2008-09-12 |
| Find all providers in zip 23511 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184081739 | Amazing Star Group Home Corporation | Psychologist | 861 Glenrock Rd, Suite 114, Norfolk, VA 23502-3720 | 2016-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841541133 | Erica Paradis | Psychologist | 5105 Radcliff Cir, Portsmouth, VA 23703-4615 | 2012-09-26 |
| 1821636812 | Cynthia Malia Johnson | Psychologist | 8300 Boone Blvd Ste 500, Vienna, VA 22182-2681 | 2019-12-20 |
| 1972574622 | Elizabeth Louise Hain | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2006-01-31 |
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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.