Bryan E Kirk, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

679387 Issued in TX

Legal business name

BRYAN E KIRK, LLC

Practice address

1708 Dayton Ave
Wichita Falls, TX 76301-6110

Phone

(940) 322-5477

Fax

(940) 720-0018

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Bryan E Kirk, PMH-NP

Title

Managing Member

Phone

(940) 631-7066

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kymberly Kirk Cullar, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita Falls, TX
  • NPI 1255363800
  NPD (past)

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1801264775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9632",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763089562",
            "telephone_number": "940-322-5477",
            "fax_number": "940-720-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 DAYTON AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016110",
            "telephone_number": "940-322-5477",
            "fax_number": "940-720-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN E KIRK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "940-631-7066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMH-NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "679387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356827101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Bruce
• Rodney Lee Brumbelow, PHARMD, RPH
• Brunett Healthcare,Inc
• Latosca Brunner, AGAC-NP
• Michelle Bruno
• Bryan Wieck MD PA
• Laura Bryant
• Levina K Bryant
• Patricia Goforth Bryant, SLP
• Feliciano Bucag, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.