Active NPI
Wilson Werber Bryan, M.D.
- Neurology Physician
- Bethesda, MD
National Provider Identifier
1629202056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- D0058072
- Practice address
- 10 Center Dr
Building 10, Room 5S-219
Bethesda, MD 20892-0001 - Phone
- (301) 496-8969
- Fax
- (301) 480-0056
- NPI assigned
- May 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | D0058072 | MD | |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | G7917 | TX | |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | 0101232040 | VA | |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | MD33451 | DC | |
| Neurology Physician | 2084N0400X | D0058072 | MD | Primary |
| Neurology Physician | 2084N0400X | G7917 | TX | |
| Neurology Physician | 2084N0400X | 0101232040 | VA | |
| Neurology Physician | 2084N0400X | MD33451 | DC | |
| Clinical Neurophysiology Physician | 2084N0600X | D0058072 | MD | |
| Clinical Neurophysiology Physician | 2084N0600X | G7917 | TX | |
| Clinical Neurophysiology Physician | 2084N0600X | 0101232040 | VA | |
| Clinical Neurophysiology Physician | 2084N0600X | MD33451 | DC |
Addresses
Primary practice location
10 Center Dr
Building 10, Room 5S-219
Bethesda, MD 20892-0001
Mailing address
10730 Pine Haven Ter
Rockville, MD 20852-3441
Phone (301) 496-8969
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD33451 | DC | MD | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
| D0058072 | MD | MD | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
| G7917 | TX | MD | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
| 0101232040 | VA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1629202056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10730 PINE HAVEN TER",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523441",
"telephone_number": "301-496-8969",
"fax_number": "301-480-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CENTER DR",
"address_2": "BUILDING 10, ROOM 5S-219",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "301-496-8969",
"fax_number": "301-480-0056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "WILSON",
"middle_name": "WERBER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "MD",
"license": "D0058072",
"primary": false
},
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "TX",
"license": "G7917",
"primary": false
},
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "VA",
"license": "0101232040",
"primary": false
},
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "DC",
"license": "MD33451",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D0058072",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "G7917",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101232040",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "DC",
"license": "MD33451",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "MD",
"license": "D0058072",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "TX",
"license": "G7917",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "VA",
"license": "0101232040",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "DC",
"license": "MD33451",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.