Bryvic Medical, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRYVIC MEDICAL, LLC

Practice address

1914 Falcon Ridge Dr
Fort Collins, CO 80528-5100

Phone

(970) 217-4896

NPI assigned

Jan 13, 2020

Organization subpart

No

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

Authorized official

Name

Victor Duarte, FNP-C, WCC

Title

Nurse Practitioner / Owner

Phone

(970) 217-4896

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1225678691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 FALCON RIDGE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805285100",
            "telephone_number": "970-217-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 FALCON RIDGE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805285100",
            "telephone_number": "970-217-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYVIC MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "DUARTE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "NURSE PRACTITIONER / OWNER",
        "authorized_official_telephone_number": "970-217-4896",
        "authorized_official_credential": "FNP-C, WCC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason T Bryant, OD
• Thomas Joseph Bryant
• Todd Bryce, PA-C
• Wendy Marie Bryner
• Rheanna Rose Bryson
• Pawel Brzozka, CP
• BSLC II
• Frankie Buchanan Green, LPC
• Elizabeth Buchanan, LCSW
• Katherine Buchanan

• Family Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.