Edward Lawrence Bryson Jr., RPH
Individual provider Active NPI Pharmacist · Brevard, NC
NPI 1013372333 · NPPES record last updated Dec 31, 2015
Key facts
- NPI
- 1013372333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 6339 (NC)
- Practice address
- 518 S Broad St
Brevard, NC 28712-4438 - Phone
- (828) 877-6111
- Fax
- (828) 877-6487
- NPI assigned
- Dec 31, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6339 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fernhill Pharm Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6339 | NC | Yes |
Addresses
Primary practice location
518 S Broad St
Brevard, NC 28712-4438
Mailing address
518 S Broad St
Brevard, NC 28712-4438
Phone (828) 877-6111
Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.