Brittany Owens Bryan, PA-C
Individual provider Active NPI Physician Assistant · South Burlington, VT
NPI 1194246405 · NPPES record last updated Nov 28, 2017
Key facts
- NPI
- 1194246405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 055.0031357 (VT)
- Practice address
- 192 Tilley Dr
South Burlington, VT 05403-4440 - Phone
- (802) 847-2663
- NPI assigned
- Jun 28, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Tufts University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Vermont Medical Center Inc
Practice addresses (Care Compare)
1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171219001918 | VT | Practitioner - Physician Assistant | 0042578148 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Current |
Accepting new patients | |
| Fletcher Allen Health Care Inc | Past | Accepting new patients |
Locations
111 Colchester Ave
#567
Burlington, VT 05401
Phone (802) 847-7911
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
192 Tilley Dr
South Burlington, VT 05403
Phone (802) 847-2663
192 Tilley Dr
Uppr
South Burlington, VT 05403
Interoperability endpoints
- bbryan139081@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 055.0031357 | VT | Yes |
Addresses
Primary practice location
192 Tilley Dr
South Burlington, VT 05403-4440
Mailing address
192 Tilley Dr
Orthopedics and Rehabilitation; Upper Extremity
South Burlington, VT 05403
Phone (802) 847-4690
Other providers in South Burlington, VT
- Rachel Brodie
- Stephen Michael Broer
- John Ross Brooklyn
- Caitlin Brouillard
- Kyle Joseph Brown
- Crystal Bryce
- Zahara Bulle
- Burlington Podiatry
- Kristen Burns
- Lisa Denise Burns
All providers in South Burlington, VT · Physician Assistant in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.