Active NPI
William A Bryan, DMD
- Periodontics
- Pittsburgh, PA
National Provider Identifier
1750341988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DS017636L
- Practice address
- 1201 Broughton Rd
Pittsburgh, PA 15236-3451 - Phone
- (412) 655-3020
- NPI assigned
- Mar 23, 2006
- Last updated
- Feb 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DS017636L | PA | Primary |
Addresses
Primary practice location
1201 Broughton Rd
Pittsburgh, PA 15236-3451
Mailing address
236 Oak Entrance Dr
Clairton, PA 15025-3024
Phone (412) 885-2340
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 |
|---|---|---|---|
| DS017636L | PA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1750341988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 OAK ENTRANCE DR",
"city": "CLAIRTON",
"state": "PA",
"postal_code": "150253024",
"telephone_number": "412-885-2340",
"fax_number": "412-882-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 BROUGHTON RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152363451",
"telephone_number": "412-655-3020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "WILLIAM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS017636L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.