Nicholas Bryant

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

5415 Bennett Dr
Cross Lanes, WV 25313-1249

Phone

(304) 380-5004

NPI assigned

Feb 13, 2021

Last updated

Feb 13, 2021By the provider in NPPES

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

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1295328920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 BENNETT DR",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 BENNETT DR",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131249",
            "telephone_number": "304-380-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-13",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor S Brammer, LMT
• Shelly Bright
• David A Briscoe, P.T.
• Daniel Bruton
• Kendall Bryan
• Kayla Buchanan, D.D.S.
• Scott Christopher Burgess, PT
• Tammy W. Burns, D.C.
• Crystal Bush
• Laura Buxton

• Community Health Worker in Cross Lanes, WV
• Providers in Cross Lanes, WV by specialty
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.