Marcia Annette Bryan

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

6906025 Issued in FL

Practice address

957 Rock Creek Street
Apopka, FL 32712

Phone

(407) 880-2107

NPI assigned

Sep 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1275884553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 ROCK CREEK STREET",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "32712",
            "telephone_number": "407-880-2107",
            "fax_number": "407-880-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 ROCK CREEK STREET",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "32712",
            "telephone_number": "407-880-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "MARCIA",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "FL",
            "license": "6906025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142793800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brozana Brands LLC
• Leslie Bruce, MD
• Sarah Elizabeth Brumbaugh-Baker, CRNA
• Taylor Brun, M.D.
• Vessela Brunig
• Maritza Bryan
• Donald Sherman Buchanan, PNP-C
• Jean Ellis Buchanan, PHYSICAL THERAPIST
• Buckley Eye Care Inc
• Egar Bueno Fernandez I

• Nursing Home Administrator in Apopka, FL
• Providers in Apopka, FL by specialty
• Nursing Home Administrator in Florida

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