Bryan Demarco

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

030987 Issued in GA

Legal business name

BRYAN DEMARCO

Practice address

3969 S Cobb Dr SE
Suite 206
Smyrna, GA 30080-6358

Phone

(770) 432-5326

Fax

(770) 432-5740

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bryan J. De MarcoNPI 1851462204

Title

Member

Phone

(770) 432-5326

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan J De Marco, M.D.

  • Gynecology Physician
  • Smyrna, GA
  • NPI 1851462204
  NPD (past) Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1629108964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3969 S COBB DR SE",
            "address_2": "SUITE 206",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3969 S COBB DR SE",
            "address_2": "SUITE 206",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806358",
            "telephone_number": "770-432-5326",
            "fax_number": "770-432-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN DEMARCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "DE MARCO",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "770-432-5326",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "030987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Brown
• Michaele L Brown, M.D
• Jenna Bruck, LMSW
• Lauren Anne Brueck, ATC, LAT
• Leonide Brunot, APRN
• Lyla A Bryan, PMHNP-BC
• Christin Bryant, DDS
• Phila Bryant
• Sara Elizabeth Bryant, MA
• Leah Jane Buchkowski, D.C.

• Gynecology Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.