Michael D. Bryan, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

J1503 Issued in TX

Legal business name

MICHAEL D. BRYAN, MD

Practice address

660 W Southlake Blvd
Suite 100
Southlake, TX 76092-6069

Phone

(817) 416-9731

Fax

(817) 416-9751

NPI assigned

Oct 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Dennis Bryan, M.D.NPI 1043284128

Title

Owner

Phone

(817) 416-9731

Specialties & licenses 1

Addresses

Practitioners 3

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

• Michael Dennis Bryan, MD

  • Otolaryngology Physician
  • Southlake, TX
  • NPI 1043284128
  NPD (past) Authorized official
• Brooke C E Casey, AUD

  • Audiologist
  • Southlake, TX
  • NPI 1730164138
  NPD (past)
• Amy Mettman, MD

  • Otolaryngology Physician
  • Southlake, TX
  • NPI 1174726772
  NPD (past)

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1811148802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 W SOUTHLAKE BLVD",
            "address_2": "SUITE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926069",
            "telephone_number": "817-416-9731",
            "fax_number": "817-416-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W SOUTHLAKE BLVD",
            "address_2": "SUITE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926069",
            "telephone_number": "817-416-9731",
            "fax_number": "817-416-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. BRYAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-416-9731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "J1503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebeca F Meyer, LPC
• MHR Eye Association, P.a.
• MHR Eye Association, PC
• Mhya Clinic PLLC
• Michael a. Bogdan, MD, PLLC
• Dee Michel, O.D.
• Midtown Medical Imaging - Southlake, LLC
• Mihills Home Visits PLLC
• Emad Mikhail, RPH
• Keyera Milburn

• Otolaryngology Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.