Edwin D. Bryan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-490-TA-140 Issued in AL

Practice address

701 McMeans Ave
Bay Minette, AL 36507-3337

Phone

(251) 937-1455

Fax

(251) 937-1397

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edwin D Bryan Inc

  • Preferred Provider Organization
  • Bay Minette, AL
  • NPI 1194995696
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073624540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 MARY ANN BEACH RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365325423",
            "telephone_number": "251-929-3191",
            "fax_number": "251-937-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MCMEANS AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365073337",
            "telephone_number": "251-937-1455",
            "fax_number": "251-937-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "EDWIN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-490-TA-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Clifton Bradley, D.M.D
• Cheryl Annette Branscum, M.A., CCC-SLP
• Anice Noele Brenner, RN
• Kimberly Bright
• Hayley Jones Brooks
• Anna Elizabeth Bulman
• Erin Camilleri, M.S. CCC-SLP
• Candlelight Compassions LLC
• Amanda E Carter
• Stacey D Carter, R.PH.

• Optometrist in Bay Minette, AL
• Providers in Bay Minette, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.