Shelby Elizabeth Bryan, LVN, TS-C, FA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

208 Gaslight Blvd
Lufkin, TX 75904-3166

Phone

(936) 630-8822

Fax

(936) 634-8836

NPI assigned

Jul 2, 2012

Last updated

Jul 2, 2012By the provider in NPPES

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1245594563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 BILLY CLARK RD",
            "city": "HUNTINGTON",
            "state": "TX",
            "postal_code": "759492917",
            "telephone_number": "936-630-8822",
            "fax_number": "936-634-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043166",
            "telephone_number": "936-630-8822",
            "fax_number": "936-634-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "SHELBY",
        "middle_name": "ELIZABETH",
        "credential": "LVN, TS-C, FA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broughton Enterprises Inc (Texas State Optical of Lufkin)
• Karol B Brown, WHNP
• Marlene Brown, RN, MPH, CPH
• James R Bruce, MD
• Jessica Michelle Bryan
• Buckner Children & Family Services of Deep East Texas
• Laura Buckner, CRNA
• Bao Quoc Bui, M.D.
• Karen Renee Bumpus, LPC
• Deborah Burgess, FNP-BC

• Surgical Assistant in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.