Individual provider Active NPI

Lawrence W Bryer, M.D.

  • Psychiatry Physician
  • Oakland, CA
National Provider Identifier
1922395797
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G45619 Issued in CA
Practice address
5131 Parkridge Dr
Oakland, CA 94619
Phone
(510) 531-0985
NPI assigned
Jun 30, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G45619 CA Primary

Addresses

Primary practice location

5131 Parkridge Dr
Oakland, CA 94619

Mailing address

4100 Redwood Rd
Ste 10, PMB #206
Oakland, CA 94619-2363
Phone (510) 301-7738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191213001884 CA Practitioner - Psychiatry 8921431479 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G45619CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Systems, Inc. CurrentSince Oct 19, 2022 Accepting new patients
Bay Area Community Services, Inc. CurrentSince Oct 15, 2019 Accepting new patients
Bay Area Community Services, Inc. CurrentSince Oct 15, 2019 Accepting new patients
Mental Health Systems, Inc. CurrentSince Oct 19, 2022 Accepting new patients
Mental Health Systems, Inc. Current Accepting new patients
Bay Area Community Services, Inc. Current Accepting new patients
Mental Health Systems, Inc. Past Accepting new patients

Locations

2550 W Clinton Ave
Ste B
Fresno, CA 93705
Phone (858) 251-2314

390 40th St
Oakland, CA 94609
Phone (510) 247-8235

559 16th St
Oakland, CA 94612
Phone (510) 318-6112

9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1922395797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 REDWOOD RD",
            "address_2": "STE 10, PMB #206",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192363",
            "telephone_number": "510-301-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 PARKRIDGE DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94619",
            "telephone_number": "510-531-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYER",
        "first_name": "LAWRENCE",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G45619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.