Bert C. Bryan M.D. P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D3765 Issued in TX

Legal business name

BERT C. BRYAN M.D. P.A.

Practice address

8210 Walnut Hill LN
Suite 100 LB-5
Dallas, TX 75231-4405

Phone

(214) 369-8478

Fax

(214) 696-1594

NPI assigned

Nov 20, 2009

Last updated

Dec 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bert C. Bryan, M.D.

Title

Owner

Phone

(214) 369-8478

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary G Deckelboim, M.D.

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1912979790
  NPD (past)

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1184952624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN",
            "address_2": "SUITE 100 LB-5",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314418",
            "telephone_number": "214-369-8478",
            "fax_number": "214-696-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN",
            "address_2": "SUITE 100 LB-5",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314405",
            "telephone_number": "214-369-8478",
            "fax_number": "214-696-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERT C. BRYAN M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "BERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-369-8478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "D3765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0A5543",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "D3765",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Berry, D.C
• William L Berry, M.D.
• Dianna Marie Berryhill
• Robert Brian Berryman, M.D.
• Elisa Rachel Berson, MD
• Bertha Ezenagu (BMX Homecare Services)
• Paul Domenic Bertodatto, CRNA
• Emilee J Bertoldi, APRN-C
• Alison Hayley Bertran, PT, DPT
• Cheryl Lynne Bertran, CRNA

• Ophthalmology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.