Active NPI
Ernest Troy Bryant, PHD
- Clinical Neuropsychologist
- Corte Madera, CA
National Provider Identifier
1669502183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY-7959
- Practice address
- 240 Tamal Vista Blvd
Corte Madera, CA 94925-1132 - Phone
- (415) 927-7748
- NPI assigned
- Mar 6, 2007
- Last updated
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY-7959 | CA | Primary |
Addresses
Primary practice location
240 Tamal Vista Blvd
Corte Madera, CA 94925-1132
Mailing address
9 Meadowlark CT
Novato, CA 94947-3750
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-7959 | CA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1669502183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MEADOWLARK CT",
"city": "NOVATO",
"state": "CA",
"postal_code": "949473750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 TAMAL VISTA BLVD",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251132",
"telephone_number": "415-927-7748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "ERNEST",
"middle_name": "TROY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY-7959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corte Madera, CA
- Brett V. Curtis, M.D. Inc. Apc (Medical Center of Marin)
- Nadine Renee Brinton, D.C.
- Marilyn Britton, D.C.
- Sinead Patricia Broughton, PSY.D.
- Brooke A Brown, PHD
- Madison Buchanan, MD
- Kristin Greilick Burrell, M.A., CCC-SLP
- Naomi Butler, M.F.T.
- California Center for Ms and Neurology Inc
- Fred J Cameron, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.