Alphonso Bryant, ORTHOTIST

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

73 Issued in GA

Practice address

182 Riley Ave
Ste. B
Macon, GA 31204-0771

Phone

(478) 476-0201

Fax

(478) 476-0202

NPI assigned

Jul 2, 2008

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

State licenses

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1659533446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 RILEY AVE",
            "address_2": "STE. B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-476-0201",
            "fax_number": "478-476-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 RILEY AVE",
            "address_2": "STE. B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312040771",
            "telephone_number": "478-476-0201",
            "fax_number": "478-476-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ALPHONSO",
        "credential": "ORTHOTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "GA",
            "license": "73",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cade Andrew Brownlee, APRN
• Browns Medical Supplies & Equipment DME, LLC
• David Bruce, PA
• Kanan Patel Brumfield, DO
• Robert Ashley Brunson, NP
• Deborah H Bryant, O.T.R./L
• Isela Villasana Bryant, FNP-C
• Jennifer M Bryant, NP
• Joshua Nicholas Bryant, DO
• Summer M Bryant, N.P.

• Orthotist in Macon, GA
• Providers in Macon, GA by specialty
• Orthotist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.