Bryan Robert Leonard, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95027967 Issued in CA

Practice address

6611 Folsom Auburn Rd Ste F
Folsom, CA 95630-2100

Phone

(916) 988-9111

NPI assigned

Dec 18, 2023

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

Other names 1

• Bryan Robert Leonard Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1295503340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19719 SUTTER CREEK RD",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859725",
            "telephone_number": "209-296-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 FOLSOM AUBURN RD STE F",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302100",
            "telephone_number": "916-988-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "BRYAN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95027967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYAN",
            "last_name": "LEONARD",
            "middle_name": "ROBERT",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Suzanne Marie Lee, MFT 52675
• Connor Leishman, DPT
• Lena Home Care Group LLC
• Lisa J Lennox, M.A., CCC-SLP
• Christine Marie Leon, PA-C
• Kelley Manion Leonard, CRNP
• Jessica Lepage-Smith, LCSW
• Lauren Lerza, PSY.D.
• Charles CHI Hao Leung, DDS
• Annemarie Renee Leuschen

• Adult Health Nurse Practitioner in Folsom, CA
• Providers in Folsom, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.