Individual provider Active NPI

Collin J Obryan, MD

  • Dermatology Physician
  • Cedar Rapids, IA
National Provider Identifier
1770232076
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD-55963 Issued in IA
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

Updated by the provider on Jul 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.