Bryon Eugene Fisher, BA, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13148 Issued in NY

Practice address

422 N Main St
Warsaw, NY 14569-1023

Phone

(585) 786-8133

Fax

(585) 786-9928

NPI assigned

Oct 2, 2007

Last updated

Oct 2, 2007By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1881881084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 SOWERBY RD",
            "city": "SILVER SPRINGS",
            "state": "NY",
            "postal_code": "145509721",
            "telephone_number": "585-237-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N MAIN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691023",
            "telephone_number": "585-786-8133",
            "fax_number": "585-786-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "BRYON",
        "middle_name": "EUGENE",
        "credential": "BA, CASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "13148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00740423",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fa Surgical PLLC
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• Amy Fialkowski
• Nicole Michele Fink, M.S.OTR
• Kristen Rackl Fisher, LPN, BS, CASAC
• Stephanie Lynn Fisk
• Britannie Fitch
• Shontay Fluitt
• Jesika Forsyth

• Addiction (Substance Use Disorder) Counselor in Warsaw, NY
• Providers in Warsaw, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.