Brykerwood Skin and Vein Center PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

TXJ4761 Issued in TX

Legal business name

BRYKERWOOD SKIN AND VEIN CENTER PA

Practice address

1600 W 38TH Street
Suite 315
Austin, TX 78731

Phone

(512) 302-4047

Fax

(512) 302-1629

NPI assigned

Nov 7, 2006

Last updated

May 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jaculeen Ann Dano, MDNPI 1619005840

Title

Dermatologist

Phone

(512) 302-4047

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Brykerwood Skin and Vein Center PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Byrkerwood Skin and Vein Center, P.a.

  • Dermatology Physician
  • Austin, TX
  • NPI 1659646180
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaculeen Ann Dano, M.D.

  • Dermatology Physician
  • Austin, TX
  • NPI 1619005840
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715990400000",
    "number": "1316016710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 38TH STREET",
            "address_2": "SUITE 315",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-302-4047",
            "fax_number": "512-302-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 38TH STREET",
            "address_2": "SUITE 315",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-302-4047",
            "fax_number": "512-302-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYKERWOOD SKIN AND VEIN CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A",
        "authorized_official_last_name": "DANO",
        "authorized_official_first_name": "JACULEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "512-302-4047",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "TXJ4761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0051DR",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Bryant, CD(ICEA)
• Tyla Bryant, DPT
• Vanessa Bryant, LPC-A
• Richard Colwin Bryarly Jr., MD
• Kristi Lynn Bryce
• Bronson Wallace Brylak
• James Bevyn Bryson, DPT
• Jeremy Todd Bryson, D.C.
• Adam Brzeszkiewicz, PHARMD.
• Callie Brzon, FNP-BC

• Dermatology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.