Active NPI
Troy D B Lyons, MD
- Pediatrics Physician
- Newtown Square, PA
National Provider Identifier
1023052925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD069278L
- Practice address
- 15 Campus Blvd
Newtown Square, PA 19073-3249 - Phone
- (484) 567-5147
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD069278L | PA | Primary |
Addresses
Primary practice location
15 Campus Blvd
Newtown Square, PA 19073-3249
Mailing address
15 Campus Blvd
Newtown Square, PA 19073-3249
Phone (484) 567-5147
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 765756 | Other | BLUE SHIELD | |
| 321854 | Other | UPMC HEALTH PLAN | |
| 001776137 | Medicaid | PA | |
| P005019 | Other | GATEWAY HEALTH PLAN | |
| 7903528 | Other | AETNA |
Other names 1
- Troy Danean Bryant
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD069278L | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1023052925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CAMPUS BLVD",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190733249",
"telephone_number": "484-567-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CAMPUS BLVD",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190733249",
"telephone_number": "484-567-5147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "TROY",
"middle_name": "D B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD069278L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "765756",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC HEALTH PLAN",
"identifier": "321854",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001776137",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "P005019",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7903528",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TROY",
"last_name": "BRYANT",
"middle_name": "DANEAN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Newtown Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.