Individual provider Active NPI

William Bruce O'Bryant, M.D.

  • Internal Medicine Physician
  • Cypress, CA
National Provider Identifier
1013041003
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G42434 Issued in CA
Practice address
5757 Plaza Dr
Mail Stop Ca124-0142
Cypress, CA 90630-5000
Phone
(714) 226-6884
Fax
(949) 588-1177
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G42434 CA Primary
Internal Medicine Physician 207R00000X 41348 CO

Addresses

Primary practice location

5757 Plaza Dr
Mail Stop Ca124-0142
Cypress, CA 90630-5000

Mailing address

2300 Main St
Mail Stop Ca124-0142
Irvine, CA 92614-6223
Phone (949) 632-4410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41348COMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1013041003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MAIN ST",
            "address_2": "MAIL STOP CA124-0142",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146223",
            "telephone_number": "949-632-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 PLAZA DR",
            "address_2": "MAIL STOP CA124-0142",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305000",
            "telephone_number": "714-226-6884",
            "fax_number": "949-588-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRYANT",
        "first_name": "WILLIAM",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G42434",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "41348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

Verify at the official NPI Registry.