Organization Active NPI

David S. Bryant

  • Specialist
  • Stockbridge, GA
National Provider Identifier
1386094852
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
52394 Issued in GA
Legal business name
DAVID S. BRYANT
Practice address
1215 Eagle Lndng Pkwy
Stockbridge, GA 30281-7279
Phone
(770) 389-9116
Fax
(770) 506-4580
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
David S Bryant, MD
Title
Physician
Phone
(678) 656-7203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 52394 GA Primary

Addresses

Primary practice location

1215 Eagle Lndng Pkwy
Stockbridge, GA 30281-7279

Mailing address

1215 Eagle Lndng Pkwy
Stockbridge, GA 30281-7279
Phone (770) 389-9116

National Provider Directory

National Provider Directory

Locations

11338 Tara Blvd
Lovejoy, GA 30228

245 Village Center Pkwy
Ste 120
Stockbridge, GA 30281
Phone (770) 876-5776

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1386094852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 EAGLE LNDNG PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817279",
            "telephone_number": "770-389-9116",
            "fax_number": "770-506-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 EAGLE LNDNG PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817279",
            "telephone_number": "770-389-9116",
            "fax_number": "770-506-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. BRYANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "678-656-7203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "52394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.