Lou Bryant
Individual provider Active NPI Driver · Bryans Road, MD
NPI 1023790318 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1023790318
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 2280 Woodberry Dr
Bryans Road, MD 20616-4230 - Phone
- (240) 681-5957
- NPI assigned
- Aug 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | MD | Yes |
Addresses
Primary practice location
2280 Woodberry Dr
Bryans Road, MD 20616-4230
Mailing address
2280 Woodberry Dr
Bryans Road, MD 20616-4230
Phone (240) 681-5957
Other providers in Bryans Road, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. 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.