NPI 1194246405 · live from the CMS NPI Registry
Brittany Owens Bryan, PA-C
Physician Assistant in South Burlington, VT. National Provider Identifier 1194246405, active.
NPI record
| NPI | 1194246405 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 192 Tilley Dr, South Burlington, VT 05403 |
| Practice phone | 802-847-2663 |
| Mailing address | 192 Tilley Dr, Orthopedics And Rehabilitation; Upper Extremity, South Burlington, VT 05403 |
| Enumerated | June 28, 2017 |
| Last updated | November 28, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 055.0031357 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.