Lucian Dillard Bryan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012040 Issued in GA

Practice address

403 E Maple St
Cumming, GA 30040-2656

Phone

(770) 887-3223

Fax

(770) 887-2383

NPI assigned

Sep 24, 2008

Last updated

Sep 24, 2008By 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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bryan Family Dentistry

  • General Practice Dentistry
  • Cumming, GA
  • NPI 1417032293
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1720238991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E MAPLE ST",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402656",
            "telephone_number": "770-887-3223",
            "fax_number": "770-887-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E MAPLE ST",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402656",
            "telephone_number": "770-887-3223",
            "fax_number": "770-887-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "LUCIAN",
        "middle_name": "DILLARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "012040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Browning
• Brujan Corp. (CareMinders Home Care)
• Mollie Renee Brusca
• Bryan Family Dentistry
• Lorin Nicole Bryan
• Rebecca Brown Bryan
• Elizabeth J Bryant, MS, OTR/L
• Ashley Bryson
• Jeffrey David Buchanan, PA-C
• Wanda G. Buchheit, PA-C

• General Practice Dentistry in Cumming, GA
• Providers in Cumming, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.