Bryan Medical and Wellness PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRYAN MEDICAL AND WELLNESS PLLC

Practice address

900 Old Winston Rd Ste 116
Kernersville, NC 27284-9965

Phone

(336) 992-0491

Fax

(336) 450-1722

NPI assigned

Jul 15, 2024

Last updated

Jul 15, 2024By 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

Mr. Daniel Justin Bryan, PA-C

Title

Owner

Phone

(336) 992-0491

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Daniel Justin Bryan-Ledwell, PA-C

  • Physician Assistant
  • Kernersville, NC
  • NPI 1710281035
  NPD
• Annie Grace Atcheson, PA-C

  • Physician Assistant
  • Winston Salem, NC
  • NPI 1316611650
  NPD (past)

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1255179362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OLD WINSTON RD STE 116",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849965",
            "telephone_number": "336-992-0491",
            "fax_number": "336-450-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OLD WINSTON RD STE 116",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849965",
            "telephone_number": "336-992-0491",
            "fax_number": "336-450-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN MEDICAL AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-992-0491",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice Antonio Brown
• Timothy Brown
• Tami Jo Bruggeman, MSN, APRN, FNP-BC
• Christopher Scott Brumfield, MD
• Anne Elizabeth Brush, PT, DPT
• Daniel Justin Bryan-Ledwell, PA-C
• Dmyia Bryant
• Brittni Bullins
• Candice Bullock
• Lindsay Marie Burch

• Family Medicine Physician in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.