Active NPI
Alex Mays Bryson, LSW
- Social Worker
- Philadelphia, PA
National Provider Identifier
1881561405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW143295
- Practice address
- 430 Belgrade St FL 1
Philadelphia, PA 19125-2621 - Phone
- (267) 764-1997
- NPI assigned
- Oct 20, 2025
- Last updated
- Oct 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW143295 | PA | Primary |
Addresses
Primary practice location
430 Belgrade St FL 1
Philadelphia, PA 19125-2621
Mailing address
430 Belgrade St FL 1
Philadelphia, PA 19125-2621
Phone (267) 764-1997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW143295 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Evolution LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba Fishtown Wellness Center
- Professional Counselor
- Philadelphia, PA
- NPI 1598260630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1881561405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 BELGRADE ST FL 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191252621",
"telephone_number": "267-764-1997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 BELGRADE ST FL 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191252621",
"telephone_number": "267-764-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYSON",
"first_name": "ALEX",
"middle_name": "MAYS",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW143295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Natasha Bryant, LCSW
- Phillip R Bryant, DO
- Robin Bryant, RN
- Sharmon Arvetta Bryant, MSW
- Sarah Bryski-Hamrick, LPC
- Katarzyna Anna Brzezinska, MD
- Barbara D Brzowski., CRNP
- BSD Care at Aj, LLC (The Pines at Philadelphia Rehabilitation and Healthcare Center)
- BSD Care at Re, LLC (River's Edge Rehabilitation & Healthcare Center)
- Bsi Acquisition, LP (Broad Street Imaging)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.