Active NPI
Collin J Obryan, MD
- Dermatology Physician
- Cedar Rapids, IA
National Provider Identifier
1770232076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD-55963
- Practice address
- 202 10TH St SE Ste 270
Cedar Rapids, IA 52403-2420 - Phone
- (319) 294-4319
- Fax
- (319) 294-4298
- NPI assigned
- Mar 22, 2022
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD-55963 | IA | Primary |
Addresses
Primary practice location
202 10TH St SE Ste 270
Cedar Rapids, IA 52403-2420
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008
Other practice location 1
2590 6th Ave Ste 103
Marion, IA 52302-4339
Phone (319) 249-6422
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Collin.OBryan@forefrontdermatology.emadirect.med | ||
| Direct Messaging Address | Collin.OBryan@forefrontdermatology.emadirect.med |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260625003403 | IA | Practitioner - Dermatology | 9335506039 |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
801 York St
Manitowoc, WI 54220-4630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1770232076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 YORK ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204630",
"telephone_number": "920-663-9008",
"fax_number": "920-684-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 10TH ST SE STE 270",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524032420",
"telephone_number": "319-294-4319",
"fax_number": "319-294-4298"
}
],
"practiceLocations": [
{
"address_1": "2590 6th Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "IA",
"postal_code": "523024339",
"country_code": "US",
"telephone_number": "319-249-6422",
"fax_number": "319-249-6822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBRYAN",
"first_name": "COLLIN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-22",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IA",
"license": "MD-55963",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Collin.OBryan@forefrontdermatology.emadirect.med",
"affiliation": "N",
"address_1": "202 10th St SE Ste 270",
"city": "Cedar Rapids",
"state": "IA",
"country_code": "US",
"postal_code": "524032420",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Collin.OBryan@forefrontdermatology.emadirect.med",
"affiliation": "N",
"address_1": "2590 6th Ave Ste 103",
"city": "Marion",
"state": "IA",
"country_code": "US",
"postal_code": "523024339",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.