Active NPI
William Bryan, MSRS RRA RT (R) (VI)
- Radiologic Technologist
- Columbia, MO
National Provider Identifier
1184529711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 12653-142
- Practice address
- 1 Hospital Dr
Columbia, MO 65201-5276 - Phone
- (262) 353-0962
- NPI assigned
- Oct 13, 2026
- Last updated
- Oct 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 12653-142 | WI | Primary |
Addresses
Primary practice location
1 Hospital Dr
Columbia, MO 65201-5276
Mailing address
108 Ulster Dr
Columbia, MO 65201-3876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1184529711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 ULSTER DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652013876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015276",
"telephone_number": "262-353-0962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "WILLIAM",
"credential": "MSRS RRA RT (R) (VI)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-10-13",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "WI",
"license": "12653-142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.