Individual provider Active NPI

Jeffrey B. Bryer, ED.D.

  • Psychologist
  • West Chester, PA
National Provider Identifier
1396796538
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS004296L Issued in PA
Practice address
1515 W Chester Pike
Unit B-4
West Chester, PA 19382-7778
Phone
(610) 431-3575
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS004296L PA Primary

Addresses

Primary practice location

1515 W Chester Pike
Unit B-4
West Chester, PA 19382-7778

Mailing address

447 Reservoir Rd
West Chester, PA 19380-6225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080724000124 PA Practitioner - Clinical Psychologist 9638242605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1515 W Chester Pike
West Chester, PA 19382-7781
Phone (610) 431-3575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS004296LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Chester Psychiatric Associates CurrentSince Jun 15, 2008 Accepting new patients

Locations

1515 W Chester Pike
Ste B4
West Chester, PA 19382
Phone (610) 431-3575

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396796538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 RESERVOIR RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W CHESTER PIKE",
            "address_2": "UNIT B-4",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827778",
            "telephone_number": "610-431-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYER",
        "first_name": "JEFFREY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS004296L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.