Vernon Bryant

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL033009 Issued in NC

Practice address

514 Cokey Rd
Rocky Mount, NC 27801-5641

Phone

(252) 813-1939

NPI assigned

Dec 7, 2016

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• My Guardian Angel Family Care Home

  • Adult Care Home Facility
  • Rocky Mount, NC
  • NPI 1669070215
  NPD (past) Authorized official
• Brenda W Bryan

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Rocky Mount, NC
  • NPI 1376724039
  NPD (past)

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1952845174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 VERNON RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278016348",
            "telephone_number": "252-977-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 COKEY RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278015641",
            "telephone_number": "252-813-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "VERNON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL033009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Brown, LE, LE
• Karen B Brown, FNP-BC
• Monique Brown, MD
• Robert Michael Brown Sr., RPH
• Daphne Beauchamp Browne, L.P.T.
• Jessica Brys-Wilson, PAC
• BTW Home Care Services
• Kerry Camden Bullerdick, M.D.
• Whitney Nicole Bullock, LCSWA
• Betsy D. Bulluck, RD,LDN

• Adult Care Home Facility in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.