Active NPI
David O'Bryan, M.D.
- Obstetrics & Gynecology Physician
- Tallahassee, FL
National Provider Identifier
1508967878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME0049732
- Practice address
- 1401 Centerville Rd
Suite 202
Tallahassee, FL 32308-4647 - Phone
- (850) 877-7241
- Fax
- (850) 656-9473
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME0049732 | FL | Primary |
Addresses
Primary practice location
1401 Centerville Rd
Suite 202
Tallahassee, FL 32308-4647
Mailing address
1401 Centerville Rd
Suite 202
Tallahassee, FL 32308-4647
Phone (850) 877-7241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039241300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0049732 | FL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512691200000",
"number": "1508967878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 CENTERVILLE RD",
"address_2": "SUITE 202",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084647",
"telephone_number": "850-877-7241",
"fax_number": "850-877-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 CENTERVILLE RD",
"address_2": "SUITE 202",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084647",
"telephone_number": "850-877-7241",
"fax_number": "850-656-9473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRYAN",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2017-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME0049732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039241300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.