Ronald W. Bryan M.D.,P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0000013662 Issued in TN

Legal business name

RONALD W. BRYAN M.D.,P.C.

Practice address

9330 Park West Blvd
Suite #103
Knoxville, TN 37923-4309

Phone

(865) 690-7820

Fax

(865) 539-6262

NPI assigned

May 16, 2006

Last updated

Apr 3, 2008By 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

Dr. Ronald William Bryan, M.D.NPI 1366615734

Title

President

Phone

(865) 690-7820

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Ronald William Bryan, M.D.

  • Specialist
  • Knoxville, TN
  • NPI 1366615734
  Authorized official Same address or phone

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1356393904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234309",
            "telephone_number": "865-690-7820",
            "fax_number": "865-539-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD",
            "address_2": "SUITE #103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234309",
            "telephone_number": "865-690-7820",
            "fax_number": "865-539-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD W. BRYAN M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-690-7820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "0000013662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3171572",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge Luis Roman, MS
• Gabriella Marie Romanoski, M.S., CF-SLP
• Manuel Romero
• Jaclyn Nicole Romines
• Mia Christina Romines, LPN
• Tucker J Roof, MD
• Kathryn Elizabeth Rooney, MD
• Jennifer P Roop, PA-C
• Roots & Wings Midwifery LLC
• Roots to Rise Counseling LLC

• Specialist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.