Individual provider Active NPI

Bryan Patrick Fisher, DMD

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1528058534
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS030461L Issued in PA
Practice address
993 Greentree Rd
Pittsburgh, PA 15220-3241
Phone
(412) 922-3066
Fax
(412) 922-3305
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS030461L PA Primary

Addresses

Primary practice location

993 Greentree Rd
Pittsburgh, PA 15220-3241

Mailing address

993 Greentree Rd
Pittsburgh, PA 15220-3241
Phone (412) 922-3066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160129000730 PA Order and Referring Only - DentistPractitioner - Dentist 7315240041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528058534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 GREENTREE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203241",
            "telephone_number": "412-922-3066",
            "fax_number": "412-922-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 GREENTREE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203241",
            "telephone_number": "412-922-3066",
            "fax_number": "412-922-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "BRYAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030461L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.