Alvin Bryant, MD PCS

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

010102571 Issued in VA

Legal business name

ALVIN BRYANT, MD PCS

Practice address

2000 Kecoughtan Rd
Hampton, VA 23661-3260

Phone

(757) 380-8603

Fax

(757) 380-5546

NPI assigned

Jan 18, 2010

Last updated

Jan 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Bryant

Title

Owner

Phone

(757) 380-8603

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1609107507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 KECOUGHTAN RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236613260",
            "telephone_number": "757-380-8603",
            "fax_number": "757-380-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 KECOUGHTAN RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236613260",
            "telephone_number": "757-380-8603",
            "fax_number": "757-380-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIN BRYANT, MD PCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-380-8603",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "010102571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1295828531",
            "identifier": "1295828531",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Hampton, VA
• Providers in Hampton, VA by specialty
• Health Maintenance Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.