Bryn James Duffy, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A110571 Issued in CA

Practice address

16 Bolanos Dr
San Rafael, CA 94903-3103

Phone

(415) 306-1560

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1235243775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 RAMBLEWOOD DR",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141033",
            "telephone_number": "585-349-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BOLANOS DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033103",
            "telephone_number": "415-306-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "BRYN",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A110571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Du, PHARM.D.
• Kelly Anne Duane
• Jonathan Michael Dubos
• Natalie Ducastelle, AMFT
• Deborah Irene Duenas, MFT
• Jennifer Dukes
• Patricia Duncan, L.P.C.C.
• Jennifer Dunn, LMFT#156965
• Kellen Grace Dunn
• Wendy Labov Dunne, LMFT

• Internal Medicine Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.