Bryant Harris, REGISTERED NURSE

Primary specialty

Continence Care Registered NurseTaxonomy code 163WC2100X

License

316781 Issued in CA

Practice address

1345 W 105TH St Unit 320
Los Angeles, CA 90044-1797

Phone

(310) 991-0235

Fax

(323) 305-2560

NPI assigned

May 15, 2019

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1730745746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 W 105TH ST UNIT 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900441797",
            "telephone_number": "310-991-0235",
            "fax_number": "323-305-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 W 105TH ST UNIT 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900441797",
            "telephone_number": "310-991-0235",
            "fax_number": "323-305-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRYANT",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "CA",
            "license": "316781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSES",
            "identifier": "316781",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPT MOTOR VEH",
            "identifier": "A3676907",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Harris
• Ashlyn Marie Harris
• Bobby June Harris, MD
• Brian W. Harris, M.D.
• Brita Harris
• Camille Harris, L.AC.
• Cathy Harris
• Charles Harris
• Charlie M. Harris, R.P.T.
• Chellon Harris

• Continence Care Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Continence Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.