Bryan Internal Medicine Specialties, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BRYAN INTERNAL MEDICINE SPECIALTIES, INC

Practice address

300 Medical Park Dr
204
Dover, OH 44622-2073

Phone

(330) 343-6100

Fax

(330) 343-6133

NPI assigned

Sep 13, 2006

Last updated

Feb 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pat O Bryan, OFFICE ADMIN

Title

Sec/Treas/Corporation

Phone

(330) 343-6100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1023113305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446220249",
            "telephone_number": "330-343-6100",
            "fax_number": "330-343-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PARK DR",
            "address_2": "204",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222073",
            "telephone_number": "330-343-6100",
            "fax_number": "330-343-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN INTERNAL MEDICINE SPECIALTIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "SEC/TREAS/CORPORATION",
        "authorized_official_telephone_number": "330-343-6100",
        "authorized_official_credential": "OFFICE ADMIN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Meiggs Brixen, P.A.
• Amanda L Brock, MSN, APRN, FNP-C
• David L Brown, D.O.
• Nancy Ann Brown, D.C.
• Richard Lee Brown, D.C.
• Joseph E Bryan, MD
• Larry Duane Bucher, D.D.S.
• Jade Marie Burger, CDCA
• John Stanley Burnham, M.D.
• Danielle Burns

• Internal Medicine Physician in Dover, OH
• Providers in Dover, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.