Edwin D Bryan Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

S-490-TA-140 Issued in AL

Legal business name

EDWIN D BRYAN INC

Practice address

701 McMeans Ave
Bay Minette, AL 36507-3337

Phone

(251) 937-1397

NPI assigned

Mar 11, 2008

Last updated

Apr 3, 2008By 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. Edwin D Bryan, ODNPI 1073624540

Title

Optometrist

Phone

(251) 929-3191

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Edwin D. Bryan, O.D.

  • Optometrist
  • Bay Minette, AL
  • NPI 1073624540
  NPD (past) Authorized official

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1194995696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 MARY ANN BEACH RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365325423",
            "telephone_number": "251-929-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MCMEANS AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365073337",
            "telephone_number": "251-937-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN D BRYAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "251-929-3191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AL",
            "license": "S-490-TA-140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5152800",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Martin Dull, DPM
• Kimberly Murray Dunagan, O.D.
• Angela White Dunnam, LICSW
• Andrew Edgar, MD
• Daniel B Edgar, FNP
• Rebecca S Emmons, CRNP
• Encore Rehabilitation, Inc. (Encore Rehab of Bay Minette)
• Brittany Evans
• Express Healthcare Inc
• Eyecare Associates, Inc.

• Preferred Provider Organization in Bay Minette, AL
• Providers in Bay Minette, AL by specialty
• Preferred Provider Organization in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.