Active NPI
Nicole Bryan, MD PLLC
- Otolaryngology Physician
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- NICOLE BRYAN, MD PLLC
- Practice address
- 1790 King Arthur Blvd
Suite 120
Carrollton, TX 75010 - Phone
- (972) 492-4006
- Fax
- (972) 492-7198
- NPI assigned
- May 7, 2014
- Last updated
- Jan 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Bryan, M.D.
- Title
- Owner
- Phone
- (972) 492-4006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary | ||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
1790 King Arthur Blvd
Suite 120
Carrollton, TX 75010
Mailing address
1790 King Arthur Blvd
Suite 120
Carrollton, TX 75010
Phone (972) 492-4006
National Provider Directory
National Provider DirectoryLocations
1790 King Arthur Blvd
Ste 120
Carrollton, TX 75010
Phone (833) 842-6389
4325 N Josey Ln
Ste 101
Carrollton, TX 75010
Phone (972) 492-4006
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- Carrollton, TX
- NPI 1740329754
-
- Audiologist-Hearing Aid Fitter
- Plano, TX
- NPI 1841354644
-
- Otolaryngology Physician
- Carrollton, TX
- NPI 1134169758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611014400000",
"number": "1902216294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 KING ARTHUR BLVD",
"address_2": "SUITE 120",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "75010",
"telephone_number": "972-492-4006",
"fax_number": "972-492-7198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 KING ARTHUR BLVD",
"address_2": "SUITE 120",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "75010",
"telephone_number": "972-492-4006",
"fax_number": "972-492-7198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLE BRYAN, MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-07",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A",
"authorized_official_last_name": "BRYAN",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-492-4006",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.