Vicki Bryant, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

100062 Issued in NC

Practice address

365 Brookdale Dr
Statesville, NC 28677-4103

Phone

(704) 872-3630

Fax

(704) 872-0049

NPI assigned

Apr 10, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1922061035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774103",
            "telephone_number": "704-872-3630",
            "fax_number": "704-872-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774103",
            "telephone_number": "704-872-3630",
            "fax_number": "704-872-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "VICKI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "100062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Harrison Brown
• Sue Ann Bingham Brown, MSW, LCSW, PIP
• Sharon Hollifield Bryan, MSN, CPNP
• Karen Jean Bryant, CADC, LCMHC
• Markeeta Imani Bryant, LCSW
• John Brzykcy
• Brandy Buchanan, M. ED
• Kelly Marie Buchholz, FNP-C
• Caitlin Elizabeth Buford, LCSW-A, LCAS-A
• Helena Bui, PA-C

• Medical Physician Assistant in Statesville, NC
• Providers in Statesville, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.