Rebecca Brown Bryan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011852 Issued in GA

Practice address

403 E Maple St
Cumming, GA 30040-2656

Phone

(770) 887-3223

Fax

(770) 887-2383

NPI assigned

Sep 24, 2008

Last updated

Sep 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bryan Family Dentistry

  • General Practice Dentistry
  • Cumming, GA
  • NPI 1417032293
  NPD (past) Authorized official

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1629228895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E MAPLE ST",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402656",
            "telephone_number": "770-887-3223",
            "fax_number": "770-887-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E MAPLE ST",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402656",
            "telephone_number": "770-887-3223",
            "fax_number": "770-887-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "REBECCA",
        "middle_name": "BROWN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brujan Corp. (CareMinders Home Care)
• Mollie Renee Brusca
• Bryan Family Dentistry
• Lorin Nicole Bryan
• Lucian Dillard Bryan
• Elizabeth J Bryant, MS, OTR/L
• Ashley Bryson
• Jeffrey David Buchanan, PA-C
• Wanda G. Buchheit, PA-C
• Mouhannad Budeir, DDS

• General Practice Dentistry in Cumming, GA
• Providers in Cumming, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.