Organization Active NPI

Bryan and Sang Medical Associates, Inc

Doing business as Gasnel E. Bryan, MD

  • Medical Specialty Clinic/Center
  • Aiken, SC
National Provider Identifier
1306921010
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
12145 Issued in SC
Legal business name
BRYAN AND SANG MEDICAL ASSOCIATES, INC
Doing business as
Gasnel E. Bryan, MD
Practice address
209 Abbeville Ave NW
Aiken, SC 29801-3923
Phone
(803) 648-0874
Fax
(803) 648-5665
NPI assigned
Oct 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gasnel E Bryan, MD
Title
Physician
Phone
(803) 648-0874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 12145 SC Primary

Addresses

Primary practice location

209 Abbeville Ave NW
Aiken, SC 29801-3923

Mailing address

PO Box 3800
Aiken, SC 29802-3800
Phone (803) 648-0874

Other identifiers 1

IdentifierTypeStateIssuer
121451MedicaidSC

Other names 1

  • Gasnel E. Bryan, MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306921010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3800",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298023800",
            "telephone_number": "803-648-0874",
            "fax_number": "803-648-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 ABBEVILLE AVE NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013923",
            "telephone_number": "803-648-0874",
            "fax_number": "803-648-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN AND SANG MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "GASNEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "803-648-0874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": "12145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121451",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gasnel E. Bryan, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.