Southworth F Bryan Jr., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2907 Issued in AL

Practice address

1661 Old Birmingham Hwy
Sylacauga, AL 35150-8334

Phone

(251) 450-2211

Fax

(251) 662-7297

NPI assigned

Jan 20, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Altapointe Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Foley, AL
  • NPI 1003707332
  NPD (past)
• Cheaha Regional Mental Health Mental Retardation Board, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sylacauga, AL
  • NPI 1275687451
  NPD (past)

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1285871822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750A SOUTHLAND DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933316",
            "telephone_number": "251-450-2211",
            "fax_number": "251-662-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 OLD BIRMINGHAM HWY",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351508334",
            "telephone_number": "251-450-2211",
            "fax_number": "251-662-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "SOUTHWORTH",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "C1551A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasia Bates Bradford, CRNP
• Charles B Brentnall Jr., M.D., P.A.
• Broadway Spinal Care LLC
• Annie Clara Brown, LCISW
• Bruno'S Supermarkets, LLC.
• Verick Daniel Burchfield, NP
• Jennifer Burnett, FNP-C
• Isabella Caldwell
• Debra K Campbell
• Juan Campos, M.D.

• All providers in Sylacauga, AL
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.