Nicole R Bryant, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9106989 Issued in FL

Practice address

9131 College Pointe CT
Fort Myers, FL 33919-3245

Phone

(239) 343-9100

Fax

(239) 343-9108

NPI assigned

May 23, 2013

Last updated

Aug 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1437596988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8971 DANIELS CENTER DR",
            "address_2": "#307",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120310",
            "telephone_number": "239-210-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 COLLEGE POINTE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193245",
            "telephone_number": "239-343-9100",
            "fax_number": "239-343-9108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8971 Daniels Center Dr",
            "address_2": "#307",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "33912",
            "country_code": "US",
            "telephone_number": "239-210-4247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Salvatore Bruno, M.D.
• Ninu Bruno
• Joseph M Bryan, M.D.
• Kristin Bryan, APN
• Nina Bryan
• Georgia A Bryce-Hutchinson, LMFT
• Mindy M Bryde, PA
• Miroslav Rafael Brzobohaty, DO
• Teresa Brzostek
• Lauren Bubak

• Physician Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.