Active NPI
Vernon L Bryant Sr., CPRS
- Peer Specialist
- Youngstown, OH
National Provider Identifier
1699496182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.003237
- Practice address
- 3110 Hudson Ave Apt 1
Youngstown, OH 44511-3132 - Phone
- (234) 201-3914
- NPI assigned
- Sep 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | OH | ||
| Peer Specialist | 175T00000X | APS.003237 | OH | Primary |
Addresses
Primary practice location
3110 Hudson Ave Apt 1
Youngstown, OH 44511-3132
Mailing address
3110 Hudson Ave Apt 1
Youngstown, OH 44511-3132
Phone (234) 201-3914
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APS.003237 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1699496182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 HUDSON AVE APT 1",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445113132",
"telephone_number": "234-201-3914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 HUDSON AVE APT 1",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445113132",
"telephone_number": "234-201-3914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "VERNON",
"middle_name": "L",
"name_suffix": "Sr.",
"credential": "CPRS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-05",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.003237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.