Brittainey Nicale Bryant

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

7322-161-498-2676 Issued in GA

Practice address

16 Gillis St
Glenwood, GA 30428-3738

Phone

(912) 423-2754

NPI assigned

Jan 22, 2025

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2025.

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1376355941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "GLENWOOD",
            "state": "GA",
            "postal_code": "304280212",
            "telephone_number": "912-423-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GILLIS ST",
            "city": "GLENWOOD",
            "state": "GA",
            "postal_code": "304283738",
            "telephone_number": "912-423-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "BRITTAINEY",
        "middle_name": "NICALE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "GA",
            "license": "7322-161-498-2676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accord Nursing Center, Inc.
• Commissioner of Roads & Revenue Wheeler County
• Freds Stores of Tennessee Inc
• Glenwood Drug ,Inc Dba Glenwood Pharmacy
• Glenwood Healthcare, LLC
• Glenwood Opco LLC

• All providers in Glenwood, GA
• Phlebotomy Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.