Jameel Bryant

Individual provider Active NPI Peer Specialist · Henderson, NC

NPI 1336055839 · NPPES record last updated Aug 24, 2026

Key facts

NPI
1336055839
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
License
2026-17262-01 (NC)
Practice address
946 W Andrews Ave Ste O
Henderson, NC 27536-2500
Phone
(252) 598-2025
NPI assigned
Aug 24, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 2026-17262-01 NC Yes

Addresses

Primary practice location

946 W Andrews Ave Ste O
Henderson, NC 27536-2500

Mailing address

946 W Andrews Ave Ste O
Henderson, NC 27536-2500
Phone (252) 598-2025

Other providers in Henderson, NC

All providers in Henderson, NC · Peer Specialist in North Carolina

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.