Bryan G. Forley, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

168207-1 Issued in NY

Practice address

5 E 82ND St
New York, NY 10028-0342

Phone

(212) 861-3757

Fax

(212) 861-5033

NPI assigned

May 13, 2008

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1295902963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E 82ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280342",
            "telephone_number": "212-861-3757",
            "fax_number": "212-861-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E 82ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280342",
            "telephone_number": "212-861-3757",
            "fax_number": "212-861-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORLEY",
        "first_name": "BRYAN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "168207-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Maria Forgione, PT, DPT
• Beth Forgosh
• Kathleen Forhan
• Rebecca Forlenza-Newcomb, LCSW
• Christopher Jon Forlenza, M.D.
• Form Physical Therapy P.C.
• Adam Formal
• Jenny Forman Sarno, LCSW
• Alexa Beth Forman, DNP, FNP-BC
• Courteney Forman, LMHC

• Plastic and Reconstructive Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Plastic and Reconstructive Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.