Bradley Bryk, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

06584 Issued in MD

Practice address

106 Old Court Rd Ste 202
Baltimore, MD 21208-4016

Phone

(917) 225-8611

NPI assigned

Apr 26, 2021

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)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brykminds, LLC

  • Clinical Psychologist
  • Baltimore, MD
  • NPI 1255142246
  NPD Authorized official

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1255913539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 KENTLANDS BLVD # 13224",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785446",
            "telephone_number": "917-225-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 OLD COURT RD STE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084016",
            "telephone_number": "917-225-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYK",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Bryant
• Temyka Deshawn Bryant
• Virletta C. Bryant, PH.D., LICSW
• Samilia Bryden-Clarke
• Amy Wiglesworth Bryk, PHARM.D
• Morgan Hilary Bryk
• Brykminds, LLC
• Paul D Brylske, LCSW-C
• Ciara Bryson, MD
• Devon Brzezynski

• Clinical Psychologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.