Michael Alfonso Bryan, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201140052RN Issued in OR

Practice address

1523 NE Kennedy LN
Hillsboro, OR 97124-2606

Phone

(503) 844-4830

NPI assigned

Feb 3, 2011

Last updated

Feb 3, 2011By the provider in NPPES

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1649576984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 NE KENNEDY LN",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971242606",
            "telephone_number": "503-844-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 NE KENNEDY LN",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971242606",
            "telephone_number": "503-844-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "MICHAEL",
        "middle_name": "ALFONSO",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201140052RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Brown, CRM, CADC-R
• Delynne Brubaker, RN
• Fritz Brueggemeyer, MOT/L
• Kacie Gayla Brumley, M.D.
• Eric M Bryan, BEHAVIOR ANALYST
• Patricia Anne Bryant, PT ASSISTANT
• Ross Aaron Bryant, OT
• Ruth Viola Bryant, LMT
• Bubblegum and Duct Tape Wellness P C
• Derek Bueffel

• Registered Nurse in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.