Individual provider Active NPI

Michael M Brymer, DDS

  • General Practice Dentistry
  • Spring, TX
National Provider Identifier
1013073550
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18347 Issued in TX
Practice address
157 Cypresswood Dr
Spring, TX 77388-6038
Phone
(281) 350-6677
Fax
(281) 350-6688
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18347 TX Primary

Addresses

Primary practice location

157 Cypresswood Dr
Spring, TX 77388-6038

Mailing address

157 Cypresswood Dr
Spring, TX 77388-6038
Phone (281) 350-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18347TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cypresswood Family Dental, P.a. CurrentSince May 9, 2021 Accepting new patients

Locations

157 Cypresswood Dr
Spring, TX 77388
Phone (281) 350-6677

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1013073550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 CYPRESSWOOD DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773886038",
            "telephone_number": "281-350-6677",
            "fax_number": "281-350-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CYPRESSWOOD DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773886038",
            "telephone_number": "281-350-6677",
            "fax_number": "281-350-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYMER",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.