DR. MICHAEL DENNIS BRYAN (NPI# 1043284128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043284128 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DENNIS BRYAN |
| Credential | MD |
| Practice Address |
660 W Southlake Blvd Suite 100 Southlake TX 76092-6003 |
| Practice Telephone | 8174169731 |
| Practice Fax Number | 8174169751 |
| Mailing Telephone | 8174169731 |
| Mailing Fax Number | 8174169751 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2012-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | J1503 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 113601203 | 05 | |
| TX | BCBS | 0052ET | 01 |
| TX | AETNA | 5675166 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649576984 | Michael Alfonso Bryan | Registered Nurse | 1523 Ne Kennedy Ln, Hillsboro, OR 97124-2606 | 2011-02-03 |
| 1720278666 | Michael Conrad Bryan | Obstetrics & Gynecology | 5310 W Thunderbird Rd Ste 308, Glendale, AZ 85306-4710 | 2007-07-26 |
| 1679635973 | Michael Anthony Bryan | Counselor | 728 Hill Avenue, Grafton, ND 58237 | 2006-12-14 |
| 1487605408 | Michael Sinclair Bryan | Optometrist | 611 N Berkeley Blvd Ste A, Goldsboro, NC 27534-3468 | 2006-05-15 |
| 1699278564 | Michael Bryan | Chiropractor | 3101 Browns Mill Rd Ste 16, Johnson City, TN 37604-4100 | 2018-03-16 |
| 1114338167 | Michael Bryan | Physical Therapist | 18901 Lake Shore Blvd, Euclid, OH 44119-1078 | 2014-05-13 |
| 1710317581 | Michael Bryan | Pharmacist | 270 W Main St, Sayville, NY 11782-2554 | 2013-11-14 |
| 1851552772 | Michael Paul Bryan | Dentist | 251 Lighthouse Ave, Monterey, CA 93940-1416 | 2008-06-23 |
| 1659410660 | Michael William Bryan | Surgery | 2050 Hall Johnson Rd Ste 200, Grapevine, TX 76051-8766 | 2007-02-06 |
| 1407909898 | Michael A Bryan | Internal Medicine | 700 2nd St Ne, Kaiser Permanente Capitol Hill Medical Center, Washington, DC 20002-8100 | 2007-01-19 |
| Street Address |
660 W SOUTHLAKE BLVD SUITE 100 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811148802 | Michael D. Bryan, Md | Otolaryngology | 660 W Southlake Blvd, Suite 100, Southlake, TX 76092-6069 | 2008-10-08 |
| 1174726772 | Amy Mettman | Otolaryngology | 660 W Southlake Blvd, Suite 100, Southlake, TX 76092-6069 | 2007-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679703615 | Jordan Rihani | Otolaryngology | 521w Southlake Blvd 175, Southlake, TX 76092-6175 | 2009-07-24 |
| 1386939262 | Amy K. Mettman, M.d., P.a. | Otolaryngology | 660 W Southlake Blvd Ste 100, Southlake, TX 76092-6070 | 2011-06-18 |
| 1811148802 | Michael D. Bryan, Md | Otolaryngology | 660 W Southlake Blvd, Suite 100, Southlake, TX 76092-6069 | 2008-10-08 |
| 1174726772 | Amy Mettman | Otolaryngology | 660 W Southlake Blvd, Suite 100, Southlake, TX 76092-6069 | 2007-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919308 | Cgn Epent Pllc | Otolaryngology | 5959 Gateway Blvd W Ste 160, El Paso, TX 79925-3315 | 2020-10-09 |
| 1154937886 | Robert Harold Miller | Otolaryngology | 2616 Wroxton Rd, Houston, TX 77005-1312 | 2020-09-18 |
| 1700401072 | Givens Facial Plastic Surgery Pllc | Otolaryngology | 3939 Bee Caves Rd Ste B3, West Lake Hills, TX 78746-6429 | 2020-06-12 |
| 1649811332 | Jorge J Arango Md Pllc | Otolaryngology | 5959 Gateway Blvd W Ste 104, El Paso, TX 79925-3315 | 2019-10-03 |
| 1194374843 | Yelda Jozaghi | Otolaryngology | 1515 Holcombe Blvd # 1445, Houston, TX 77030-4000 | 2019-09-05 |
| 1053883405 | Cosmedic Wellness Centers, Inc | Otolaryngology | 510 E. Hwy 377, Granbury, TX 76048-2556 | 2018-12-26 |
| 1942778253 | Donelson Neal Shannon | Otolaryngology | 2704 Hanover St, Dallas, TX 75225-7922 | 2018-11-05 |
| 1467968867 | Metroplex Ent & Allergy Pllc | Otolaryngology | 2021 N Macarthur Blvd Ste 225, Irving, TX 75061-2219 | 2017-12-20 |
| 1922522804 | East Texas Sinus and Dizziness Center, Pllc | Otolaryngology | 901 Pegues Pl, Longview, TX 75601-4027 | 2017-08-01 |
| 1720437155 | Central Park Ear Nose & Throat LLP Fort Worth | Otolaryngology | 800 8th Ave Ste 618, Fort Worth, TX 76104-2605 | 2016-06-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.