Bryan Duttman, MSN, RN, CWOCN

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

275140 Issued in NC

Practice address

4420 Lake Boone TRL
Raleigh, NC 27607-7505

Phone

(919) 784-2048

NPI assigned

Feb 11, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1043025679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 DUNKIRK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134384",
            "telephone_number": "919-333-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 LAKE BOONE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077505",
            "telephone_number": "919-784-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTMAN",
        "first_name": "BRYAN",
        "credential": "MSN, RN, CWOCN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "NC",
            "license": "275140",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "NC",
            "license": "275140",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NC",
            "license": "275140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duropath LLC
• Sarah K Dusel, PA
• Alisha Annmarie Dusty, M.ED/ED.S, LCMHC
• Lili Olga Duthiers, PHARMD
• Linda Julie Duthiers, PH.D.
• Kurt Franklyn Duval
• Anand Ghanshyam Dwivedi, MD
• Jeffrey Edward Dwulet, DDS
• Kathleen Dwyer, OTR/L, CHT, CHC
• Christina Dyck, P.T.A.

• Wound Care Registered Nurse in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Wound Care Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.