Gimone Bryant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

95786 Issued in CA

Practice address

7200 Bancroft Avenue, Ste. 125a
Oakland, CA 94605-2457

Phone

(510) 777-3821

NPI assigned

Oct 15, 2010

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Alameda County

  • Community/Behavioral Health Agency
  • Hayward, CA
  • NPI 1780716381
  Medicare reassignment
• Alameda, County of

  • Public Health or Welfare Agency
  • Oakland, CA
  • NPI 1568716181
  NPD
• County of Alameda

  • Community/Behavioral Health Agency
  • Alameda, CA
  • NPI 1548392145
  NPD (past)

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1912217654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 125A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVENUE, STE. 125A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052457",
            "telephone_number": "510-777-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "GIMONE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Dianne Bruzas
• John David Bry, MD
• Nancy Kathleen Bryan, PT
• Nicole Bryant Daniels
• Bria Bryant
• Jared Bryant, LAC.
• Jennah Bryant
• Kevin Lee Bryant
• Megan Bryant
• Naima Michelle Bryant

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.