John Paul Bryson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1452-71 Issued in MS

Practice address

1203 N Gloster St
Suite M
Tupelo, MS 38804-1222

Phone

(662) 823-7900

Fax

(662) 823-7920

NPI assigned

Nov 4, 2010

Last updated

Oct 11, 2013By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Marquis Dental Center PA

  dba Renew Dental

  • Customized Equipment (DME)
  • Tupelo, MS
  • NPI 1508293531
  NPD (past)

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1720389984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 N GLOSTER ST",
            "address_2": "SUITE M",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388041222",
            "telephone_number": "662-823-7900",
            "fax_number": "662-823-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 N GLOSTER ST",
            "address_2": "SUITE M",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388041222",
            "telephone_number": "662-823-7900",
            "fax_number": "662-823-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-04",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1452-71",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Bruce
• Mary Margaret Bruce, LPC
• Wesley B Bruce
• Sandra M Bruff, LPC
• Peyton Hope Bryant, RN
• BTB Orthotic and Prosthetic Solutions LLC (Premier Orthotic and Prosthetic Solutions)
• Donna Buchanan, OT
• Virginia Buchanan
• Robert Charles Buckley, MD
• Tennisha Buckner

• General Practice Dentistry in Tupelo, MS
• Providers in Tupelo, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.