Rebecca Hilgen Bryan, AGPCNP, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NN06026000 Issued in NJ

Practice address

124 W Summit Ave
Haddonfield, NJ 08033-3318

Phone

(856) 986-8594

NPI assigned

Nov 8, 2005

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2021.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1912988957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W SUMMIT AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080333318",
            "telephone_number": "856-429-7491",
            "fax_number": "856-482-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W SUMMIT AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080333318",
            "telephone_number": "856-986-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "REBECCA",
        "middle_name": "HILGEN",
        "name_prefix": "Dr.",
        "credential": "AGPCNP, APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN06026000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Haddonfield, NJ
• Adult Health Nurse Practitioner in New Jersey

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

Verify at the official NPI Registry.