Bryan J De Marco, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

030987 Issued in GA

Practice address

3969 S Cobb Dr SE
Suite 206
Smyrna, GA 30080-6358

Phone

(770) 432-5326

Fax

(770) 432-5740

NPI assigned

Nov 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bryan Demarco

  • Gynecology Physician
  • Smyrna, GA
  • NPI 1629108964
  NPD (past) Authorized official
• West Atlanta Women's Health, LLC

  • Obstetrics & Gynecology Physician
  • Smyrna, GA
  • NPI 1013940428
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851462204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3969 S COBB DR SE",
            "address_2": "SUITE 206",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806358",
            "telephone_number": "770-432-5326",
            "fax_number": "770-432-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3969 S COBB DR SE",
            "address_2": "SUITE 206",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806358",
            "telephone_number": "770-432-5326",
            "fax_number": "770-432-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MARCO",
        "first_name": "BRYAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "030987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Lamonye Dawson Jr.
• Fui Dawson, DPM
• Duane D Day, DC
• Ryan T. Day, LPC, NCC
• Richard John De Carlo, D.C.
• Eric Deal, DO
• Jimal Romane Deas
• Nicole Shearon Decker
• Veronica D. Delaney, ARNP, FNP-C
• Coralis Delgado Rivera, DC

• Gynecology Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.