Bryant Center Technical Center

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

BRYANT CENTER TECHNICAL CENTER

Practice address

2003 N Gimon Cir
Mobile, AL 36605-2348

Phone

(251) 463-8398

NPI assigned

Feb 4, 2016

Organization subpart

Yes

Parent organization

BRYANT CENTER TECHNICAL CENTERAs reported in NPPES

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

Authorized official

Name

Shanarion Gabriel Glenn

Title

Cna

Phone

(251) 463-8398

Specialties & licenses 1

Addresses

Other names 1

• Bryant center technical center Doing business as

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1194183129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 N GIMON CIR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366052348",
            "telephone_number": "251-463-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 N GIMON CIR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366052348",
            "telephone_number": "251-463-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT CENTER TECHNICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRYANT CENTER TECHNICAL CENTER",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "SHANARION",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "CNA",
        "authorized_official_telephone_number": "251-463-8398"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryant center technical center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Alyssa Brunson
• Barbara Brutkiewicz, CRNP
• Robert Carl Brutkiewicz, MD
• Shay Ellard Bruton, AGNP-C
• Melissa Snow Bryan, FNP
• Alice Bryant
• Beverly Mann Bryant, LPC
• Haley Bryant
• Kelli Bryant, NP
• Latanya D Bryant, CRNP

• Adult Care Home Facility in Mobile, AL
• Providers in Mobile, AL by specialty
• Adult Care Home Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.