Suzanne Marie Bryan

Primary specialty

Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X

License

8860129 Issued in OH

Practice address

3125 Northerton CT
Dayton, OH 45414-1793

Phone

(937) 264-3220

NPI assigned

Mar 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1861733693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 NORTHERTON CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454141793",
            "telephone_number": "937-264-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 NORTHERTON CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454141793",
            "telephone_number": "937-264-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "OH",
            "license": "8860129",
            "primary": true
        },
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "FL",
            "license": "4134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrien J Brutus, M.D.
• Amanda E Bryan, PAC
• Kayla Danae Goodwin Bryan, MD
• Mara Nicole Bryan, MD
• Nicholas Anthony Bryan, M.S., L.P.C.C.
• Bryant Family Health & Wellness, LLC
• Brandi Bryant, LPC
• Brenda Joyce Bryant
• Craig A Bryant
• Hanna Bryant

• Radiologic Technologist in Dayton, OH
• Providers in Dayton, OH by specialty
• Radiologic Technologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.