Individual provider Active NPI

Larry D Bryson, M.D.

  • Internal Medicine Physician
  • Napa, CA
National Provider Identifier
1396833539
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G34568 Issued in CA
Practice address
242 Saint Andrews Dr
Napa, CA 94558-1550
Phone
(415) 990-0083
Fax
(707) 963-1831
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G34568 CA Primary

Addresses

Primary practice location

242 Saint Andrews Dr
Napa, CA 94558-1550

Mailing address

242 Saint Andrews Dr
Napa, CA 94558-1550
Phone (415) 990-0083

Other identifiers 2

IdentifierTypeStateIssuer
1396833539OtherCANATIONAL PROVIDER NUMBER
00G34568OtherCAMEDICARE PROVIDER NUMBER

Other names 1

  • Lawrence Bryson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129003948 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4789719931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G34568CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Officemd, a Medical Corporation Past Accepting new patients

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1396833539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 SAINT ANDREWS DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945581550",
            "telephone_number": "415-990-0083",
            "fax_number": "707-963-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 SAINT ANDREWS DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945581550",
            "telephone_number": "415-990-0083",
            "fax_number": "707-963-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "LARRY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G34568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NUMBER",
            "identifier": "1396833539",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "00G34568",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "BRYSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.