NPIMap

Organization Active NPI

Flize Annevo Bryan

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1437528171
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
129936 Issued in NY
Legal business name
FLIZE ANNEVO BRYAN
Practice address
721 E 22ND St
Brooklyn, NY 11210-1103
Phone
(718) 434-5988
Fax
(718) 434-5988
NPI assigned
Sep 23, 2015
Last updated
Sep 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Ms. Flize Annevo Bryan, M.D.
Title
Physician
Phone
(718) 434-5988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 129936 NY Primary

Addresses

Primary practice location

721 E 22ND St
Brooklyn, NY 11210-1103

Mailing address

721 E 22ND St
Brooklyn, NY 11210-1103
Phone (718) 434-5988

National Provider Directory

National Provider Directory
Tax ID family
Agape Behavioral Center72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 8

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1437528171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101103",
            "telephone_number": "718-434-5988",
            "fax_number": "718-434-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101103",
            "telephone_number": "718-434-5988",
            "fax_number": "718-434-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLIZE ANNEVO BRYAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "FLIZE",
        "authorized_official_middle_name": "ANNEVO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-434-5988",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "129936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.