Organization Active NPI

Bryson Cancer Care Inc

  • Hematology & Oncology Physician
  • Visalia, CA
National Provider Identifier
1508883257
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G71842 Issued in CA
Legal business name
BRYSON CANCER CARE INC
Doing business as
Bryson Cancer Care, Inc.
Practice address
5345 W Hillsdale Dr.
Visalia, CA 93291-5143
Phone
(559) 622-0100
Fax
(559) 622-0700
NPI assigned
Jul 17, 2006
Last updated
Oct 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Dr. David R. Bryson, M.D.NPI 1346248077
Title
Ceo
Phone
(559) 622-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G71842 CA Primary

Addresses

Primary practice location

5345 W Hillsdale Dr.
Visalia, CA 93291-5143

Mailing address

5345 W Hillsdale Dr.
Visalia, CA 93291-5143
Phone (559) 622-0100

Other names 1

  • Bryson Cancer Care, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041118000395 CA Part B Supplier - Clinic/Group Practice 8729042734 Receives reassigned benefits from 2 practitioners
Practice locations: Visalia, CA

National Provider Directory

National Provider Directory

Locations

5345 W Hillsdale Ave
Visalia, CA 93291
Phone (559) 622-0100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1508883257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 W HILLSDALE DR.",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915143",
            "telephone_number": "559-622-0100",
            "fax_number": "559-622-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 W HILLSDALE DR.",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915143",
            "telephone_number": "559-622-0100",
            "fax_number": "559-622-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYSON CANCER CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "BRYSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-622-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G71842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryson Cancer Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bryson Cancer Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.