Active NPI
David Bryan, MD
- Gynecology Physician
- Snellville, GA
National Provider Identifier
1295766681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 18616
- Practice address
- 1800 Tree LN Ste 290
Snellville, GA 30078-6797 - Phone
- (770) 934-4577
- Fax
- (770) 934-4577
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 18616 | GA | Primary |
Addresses
Primary practice location
1800 Tree LN Ste 290
Snellville, GA 30078-6797
Mailing address
1800 Tree LN Ste 290
Snellville, GA 30078-6797
Phone (770) 934-4577
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00532254A | Medicaid | GA | |
| 023921 | Other | GA | BCBS GA |
| 554817 | Other | GA | UNITED HEALTHCARE |
| 160017334 | Other | GA | MEDICARE RAILROAD |
Other names 1
- Hunt Bryan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- david.bryan.1@14358.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1295766681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 TREE LN STE 290",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786797",
"telephone_number": "770-934-4577",
"fax_number": "770-934-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 TREE LN STE 290",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786797",
"telephone_number": "770-934-4577",
"fax_number": "770-934-4577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "GA",
"license": "18616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00532254A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GA",
"identifier": "023921",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "554817",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "160017334",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HUNT",
"last_name": "BRYAN",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.