Active NPI
Michael James Bryson, DDS
- Dentist
- Kearney, NE
National Provider Identifier
1568624070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4638
- Practice address
- 2907 W 37TH St Ste B
Kearney, NE 68845-0429 - Phone
- (308) 234-3668
- Fax
- (308) 237-5491
- NPI assigned
- Jun 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4638 | NE | Primary |
Addresses
Primary practice location
2907 W 37TH St Ste B
Kearney, NE 68845-0429
Mailing address
PO Box 638
2907 W. 37TH Street
Kearney, NE 68848-0638
Phone (308) 234-3668
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4638 | NE | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadowlark Dental Associates | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Kearney, NE
- NPI 1205912482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455753600000",
"number": "1568624070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 638",
"address_2": "2907 W. 37TH STREET",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688480638",
"telephone_number": "308-234-3668",
"fax_number": "308-237-5491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 W 37TH ST STE B",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688450429",
"telephone_number": "308-234-3668",
"fax_number": "308-237-5491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYSON",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-26",
"last_updated": "2016-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "4638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.