Anne Lorene Bryan, M.S., ATC, LAT, CES

Primary specialty

SpecialistTaxonomy code 174400000X

License

0126002257 Issued in VA

Practice address

21 Beamer Way 150 Jamerson Athletic Center
Blacksburg, VA 24061-1024

Phone

(540) 231-2711

Fax

(540) 231-7335

NPI assigned

Jun 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671321600000",
    "number": "1205199544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BEAMER WAY 150 JAMERSON ATHLETIC CENTER",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240610001",
            "telephone_number": "540-231-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BEAMER WAY 150 JAMERSON ATHLETIC CENTER",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240611024",
            "telephone_number": "540-231-2711",
            "fax_number": "540-231-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "ANNE",
        "middle_name": "LORENE",
        "credential": "M.S., ATC, LAT, CES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2022-12-18",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "AT001815",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0126002257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin L Brosius, LCSW
• Melissa Brower
• Aleksandra G Brown, D.O.
• Kenneth Xavier Brown, MD
• Whitney Brown
• Nicole Marie Bryan, DC
• Kelsie Rutledge Bryant, LPC
• John Gregory Bryson, CMT, LAC
• Theresa Ann Buchanan, FNP
• Aja Buhler, FNP

• Specialist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2022; 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.