Bradley Kerr Bryan, MS,PT, CHT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305001814 Issued in VA

Practice address

500 Hioaks Rd
Suite B
Richmond, VA 23225-4061

Phone

(804) 330-8165

Fax

(804) 330-5829

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1821033093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BOULDERS PKWY",
            "address_2": "STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232254067",
            "telephone_number": "804-915-4602",
            "fax_number": "804-327-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HIOAKS RD",
            "address_2": "SUITE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254061",
            "telephone_number": "804-330-8165",
            "fax_number": "804-330-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "BRADLEY",
        "middle_name": "KERR",
        "credential": "MS,PT, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305001814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM CHIPPENHAM OT",
            "identifier": "194769",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010067286",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "258462",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "98999",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbryan7229@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Bradley Bryan direct address",
            "address_1": "500 Hioaks Rd",
            "address_2": "Suite B",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232254061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbryan7229@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Bradley Bryan direct message",
            "address_1": "500 Hioaks Rd",
            "address_2": "Suite B",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232254061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anastasia Brusilovsky, NP
• Ilia A. Brusilovsky, MD
• Joseph Dominic Bruzzese, M.D.
• Vivian Bruzzese, MD
• Andrah Bryan
• Corey Andrew Bryan, DPT
• Daphne L Bryan, M.D.
• Herbert Leon Bryan, ED.D, PSYD
• Miraj Bryan
• Mirjam Bryan

• All providers in Richmond, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.