NPIMap

Organization Active NPI

Tamiko a. Bryant, MD,LLC

  • Internal Medicine Physician
  • Bowie, MD
National Provider Identifier
1356662001
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0054820 Issued in MD
Legal business name
TAMIKO A. BRYANT, MD,LLC
Practice address
17001 Science Dr
#118
Bowie, MD 20715-4329
Phone
(240) 245-3484
Fax
(240) 245-3486
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Dr. Tamiko Andrea Bryant, M.D.NPI 1154385912
Title
Physician
Phone
(240) 245-3484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0054820 MD Primary

Addresses

Primary practice location

17001 Science Dr
#118
Bowie, MD 20715-4329

Mailing address

17001 Science Drive
#118
Bowie, MD 20715
Phone (240) 245-3484

Other identifiers 3

IdentifierTypeStateIssuer
V944OtherDCBCBS
CR7WTAOtherMDBCBS
003388000MedicaidMD

National Provider Directory

National Provider Directory

Locations

17001 Science Dr
Ste 118
Bowie, MD 20715
Phone (240) 245-3484

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1356662001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17001 SCIENCE DRIVE",
            "address_2": "#118",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20715",
            "telephone_number": "240-245-3484",
            "fax_number": "240-245-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17001 SCIENCE DR",
            "address_2": "#118",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154329",
            "telephone_number": "240-245-3484",
            "fax_number": "240-245-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMIKO A. BRYANT, MD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "TAMIKO",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "240-245-3484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0054820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V944",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CR7WTA",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003388000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.