Carmelita Bryant

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CL1233781 Issued in FL

Practice address

4500 Portofino Way
Apt 209
West Palm Beach, FL 33409-8135

Phone

(954) 934-8135

NPI assigned

Jan 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1922420959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N ROSEMARY AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014133",
            "telephone_number": "954-934-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PORTOFINO WAY",
            "address_2": "APT 209",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334098135",
            "telephone_number": "954-934-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "CARMELITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "FL",
            "license": "CL1233781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1744P3200X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Kristina Bryan, BCBA
• Elizabeth M Bryan, LMHC, MCAP
• Kerrion Bryan
• Angela Bryant
• Barbara G. Bryant, ARNP
• Franklin Jordan Bryant IV
• Keysha Bryant, PHARMD
• Shanica Bryant
• Vivian Delores Bryant
• Clifford Bryce

• Prosthetics Case Management in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Prosthetics Case Management in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.