Active NPI
Bryan Lewis, CSFA
- Surgical Assistant
- Albany, OR
National Provider Identifier
1720768294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 211229
- Practice address
- Samaritan Albany General Hospital
1046 6TH Ave SW
Albany, OR 97321 - Phone
- (541) 812-4000
- NPI assigned
- Jul 20, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 211229 | FL | Primary |
Addresses
Primary practice location
Samaritan Albany General Hospital
1046 6TH Ave SW
Albany, OR 97321
Mailing address
225 Timber Ridge St NE Apt 257
Albany, OR 97322-7441
Phone (704) 315-1697
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 |
|---|---|---|---|
| 211229 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1720768294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 TIMBER RIDGE ST NE APT 257",
"city": "ALBANY",
"state": "OR",
"postal_code": "973227441",
"telephone_number": "704-315-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAMARITAN ALBANY GENERAL HOSPITAL",
"address_2": "1046 6TH AVE SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "97321",
"telephone_number": "541-812-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "BRYAN",
"credential": "CSFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "211229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.