Organization Active NPI

Dr. Paul Bryman

  • Geriatric Medicine (Internal Medicine) Physician
  • Stratford, NJ
National Provider Identifier
1619189453
Registry record updated Mar 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MB044593 Issued in NJ
Legal business name
DR. PAUL BRYMAN
Practice address
42 E Laurel Rd
1800
Stratford, NJ 08084-1354
Phone
(856) 566-6843
NPI assigned
May 4, 2007
Last updated
Mar 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2010

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

Authorized official

Name
Dr. Paul Neil Bryman, D.O.NPI 1609849819
Title
Doctor
Phone
(856) 566-6843

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
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MB044593 NJ Primary

Addresses

Primary practice location

42 E Laurel Rd
1800
Stratford, NJ 08084-1354

Mailing address

42 E Laurel Rd
1800
Stratford, NJ 08084-1354
Phone (856) 566-6843

Other identifiers 1

IdentifierTypeStateIssuer
0640701MedicaidNJ

National Provider Directory

National Provider Directory

Locations

532 Marlton Pike W
Marlton, NJ 08053
Phone (856) 242-2121

1700 Route 37 W
Apt 121
Toms River, NJ 08757
Phone (732) 240-9000

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269734400000",
    "number": "1619189453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD",
            "address_2": "1800",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD",
            "address_2": "1800",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAUL BRYMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2010-03-28",
        "status": "A",
        "authorized_official_last_name": "BRYMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "856-566-6843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MB044593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0640701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.