L R Bryant Medical Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00026120 Issued in WA

Legal business name

L R BRYANT MEDICAL CORP

Practice address

520 W. Indian Avenue
Brewster, WA 98812

Phone

(509) 689-2525

Fax

(509) 689-3247

NPI assigned

Feb 22, 2008

Last updated

Jul 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy C Bryant, MD

Title

President

Phone

(509) 689-2525

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1972772051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988120098",
            "telephone_number": "509-689-2525",
            "fax_number": "509-689-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W. INDIAN AVENUE",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "98812",
            "telephone_number": "509-689-2525",
            "fax_number": "509-689-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L R BRYANT MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-689-2525",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00026120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1115732",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dawn Juarez, LMP
• Kenneth Michael Kingdon, MD
• Janet A Kuester, CRNA
• Kyle M. Gillespie, O.D., LTD. (Gillespie Eye Care)
• L Keith Hanson PLLC
• L. Keith Hanson PLLC
• Robert Thomas Lamberton, PAC
• Grace Rebecca Larsen, ARNP
• Greg L Ledgerwood, MD
• Angel Karen Lund, M.ED., VRC

• Family Medicine Physician in Brewster, WA
• Providers in Brewster, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.