Active NPI
Gail E Brynien
- Optometrist
- Harleysville, PA
National Provider Identifier
1134315468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6999-P
- Practice address
- 272 Main St
Harleysville, PA 19438-2416 - Phone
- (215) 256-9909
- Fax
- (215) 256-1296
- NPI assigned
- Sep 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6999-P | PA | Primary |
Addresses
Primary practice location
272 Main St
Harleysville, PA 19438-2416
Mailing address
272 Main St
Harleysville, PA 19438-2416
Phone (215) 256-9909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091013000433 | PA | Practitioner - Optometry | 9739225327 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6999-P | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1134315468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 MAIN ST",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194382416",
"telephone_number": "215-256-9909",
"fax_number": "215-256-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 MAIN ST",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194382416",
"telephone_number": "215-256-9909",
"fax_number": "215-256-1296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYNIEN",
"first_name": "GAIL",
"middle_name": "E",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "6999-P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harleysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.