Tim Bryson

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

103069772 Issued in SC

Practice address

21 National Guard Rd
Apt 813B
Columbia, SC 29201-4765

Phone

(513) 368-9144

NPI assigned

Aug 29, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1013317841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NATIONAL GUARD RD",
            "address_2": "APT 813B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292014765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NATIONAL GUARD RD",
            "address_2": "APT 813B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292014765",
            "telephone_number": "513-368-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "TIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": "103069772",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Bryant
• Stacie Newman Bryant, APRN
• Tracy Bryant, REGISTERED NURSE
• Zachary Nathan Bryant, CRNA
• Lewandoski Dejuan Bryson II
• Avis Carol Buchanan, MSN, B.C.
• Brittany Rachel Buchanan, AGPCNP-C
• Brittney Buchanan, DNP-A, CRNA
• Catherine Meek Buchanan, LMSW
• Jason Buchanan

• Student in an Organized Health Care Education/Training Program in Columbia, SC
• Providers in Columbia, SC by specialty
• Student in an Organized Health Care Education/Training Program in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.