Lou B Bryant, PH.D

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

166-00185 Issued in IL

Practice address

3956 Hester LN
Salem, IL 62881-6657

Phone

(618) 322-4183

Fax

(618) 548-1266

NPI assigned

Nov 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720159668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3956 HESTER LN",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628816657",
            "telephone_number": "618-322-4183",
            "fax_number": "618-548-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3956 HESTER LN",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628816657",
            "telephone_number": "618-322-4183",
            "fax_number": "618-548-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "LOU",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "166-00185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0006132004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael R Bowman, DC
• Stephanie D Branch, APN
• Janet L. Broom, MSN, APRN-BC
• Amber S Bruce, APRN, FNP-C
• Jessica Linn Bryan
• Staci Lynn Burleyson, FNP-C
• Katie Jeannine Burmeister, D.C.
• Tracy Adele Caswell, APRN
• Quinn Kun Chen, DDS
• Kyle Allen Clark, D.M.D.

• Professional Counselor in Salem, IL
• Providers in Salem, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.