Individual provider Active NPI

Wilson Werber Bryan, M.D.

  • Neurology Physician
  • Bethesda, MD
National Provider Identifier
1629202056
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0058072 Issued in MD
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

Updated by the provider on May 13, 2009

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MD33451DCMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
D0058072MDMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
G7917TXMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
0101232040VAMDNeurology 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.

Verify at the official NPI Registry.