MR. KEVIN LEE BRYANT (NPI# 1043826134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043826134 |
| Entity Type | Individual |
| Full Name | MR. KEVIN LEE BRYANT |
| Practice Address |
400 Broadway Oakland CA 94607-3807 |
| Practice Telephone | 5102687814 |
| Practice Fax Number | 5102682631 |
| Mailing Telephone | 5102687814 |
| Mailing Fax Number | 5102682631 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356898951 | Kevin Bryant | Nurse Practitioner | 341 N Saint Joseph Ave, Kankakee, IL 60901-2741 | 2016-09-01 |
| 1922436468 | Kevin Bryant | Rehabilitation Practitioner | 2633 Blue Reef Dr, North Las Vegas, NV 89032-3695 | 2013-10-18 |
| 1750417879 | Kevin R. Bryant | Technician/Technologist | 2138 W Genesee St, Syracuse, NY 13219-1616 | 2007-02-25 |
| 1790871127 | Kevin M Bryant | Family Medicine | 2100 W Colorado Blvd, Dallas, TX 75211 | 2006-10-05 |
| 1174526727 | Kevin P Bryant | Dentist | 1001 Carter St, Ste H, Chattanooga, TN 37402-5014 | 2005-05-27 |
| 1770180622 | Kevin Patrick Bryant Jr. | Student in an Organized Health Care Education/Training Program | 8210 Floyd Curl Dr # 8103, San Antonio, TX 78229-3923 | 2020-10-05 |
| 1497250369 | Kevin Bryant | Pharmacist | 1901 N Main St, Anderson, SC 29621-3868 | 2018-03-24 |
| 1164955811 | Kevin Bryant | Counselor | 185 Suttle St, Durango, CO 81303-8276 | 2017-04-10 |
| 1639571672 | Kevin Bryant | Case Manager/Care Coordinator | 718 Alcoa Rd, Benton, AR 72015-3406 | 2014-09-22 |
| 1285949925 | Kevin C Bryant | Podiatrist | 5246 N Royal Dr, Traverse City, MI 49684-6984 | 2010-08-17 |
| Street Address |
400 BROADWAY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94607-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486057 | Erin Guess | Case Manager/Care Coordinator | 400 Broadway, Oakland, CA 94607-3807 | 2020-10-27 |
| 1669079968 | Patricia Katina Bottom | Case Manager/Care Coordinator | 400 Broadway, Oakland, CA 94607-3807 | 2020-10-08 |
| 1295332450 | Michael Toy | Case Manager/Care Coordinator | 400 Broadway, Oakland, CA 94607-3807 | 2020-10-01 |
| 1386251700 | Jennifer White | Case Manager/Care Coordinator | 400 Broadway, Oakland, CA 94607-3807 | 2020-09-29 |
| 1326655226 | Sherry Delynn King | Case Manager/Care Coordinator | 400 Broadway, Oakland, CA 94607-3807 | 2020-09-25 |
| 1427665223 | Charles King | Case Manager/Care Coordinator | 400 Broadway, Oakland, CA 94607-3807 | 2020-09-25 |
| 1306453378 | Cheryl Merchant | Case Manager/Care Coordinator | 400 Broadway, Oakland, CA 94607-3807 | 2020-09-24 |
| 1215544283 | Debore Leach | Case Manager/Care Coordinator | 400 Broadway, Oakland, CA 94607-3807 | 2020-09-24 |
| 1306453246 | Randy Hadley | Case Manager/Care Coordinator | 400 Broadway, Oakland, CA 94607-3807 | 2020-09-24 |
| 1447865209 | Eunique Wesley | Case Manager/Care Coordinator | 400 Broadway, Oakland, CA 94607-3807 | 2020-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1053947812 | Deanna Karraa | Registered Nurse | 1111 Jackson 6th Floor, Oakland, CA 94607 | 2020-03-12 |
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1912422528 | Maria H Cho | Registered Nurse | 2511 Market St, Oakland, CA 94607 | 2017-08-04 |
| Find all providers in zip 94607 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596044 | Michael Holloway | Case Manager/Care Coordinator | 400 Broadway Fl 3, Oakland, CA 94607-3807 | 2020-07-22 |
| 1073130746 | Anaszsa Thompson | Case Manager/Care Coordinator | 1111 Jackson St, Oakland, CA 94607-4807 | 2020-06-29 |
| 1992321715 | Lorena Gomez-melano | Case Manager/Care Coordinator | 400 Broadway Rm 317, Oakland, CA 94607-3807 | 2020-06-17 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1972127546 | Dystany Leann Kuykendall | Case Manager/Care Coordinator | 1700 Broadway Fl 5 and 9, Oakland, CA 94612-2141 | 2020-05-29 |
| 1497310098 | Marisol Rodriguez-sanchez | Case Manager/Care Coordinator | 6221 E 17th St, Oakland, CA 94621-4107 | 2019-05-08 |
| 1780140723 | Bessie Yazmin Tejada | Case Manager/Care Coordinator | 1904 Franklin St Ste 418, Oakland, CA 94612-2927 | 2019-02-14 |
| 1366923369 | Rhummanee Hang | Case Manager/Care Coordinator | 544 International Blvd., Suite #9, Oakland, CA 94606 | 2018-08-27 |
| 1710479746 | Candace Yolanda Kirven-prayer | Case Manager/Care Coordinator | 150 Frank H Ogawa Plz Ste 4340, Oakland, CA 94612-2092 | 2018-06-05 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| Find all providers in OAKLAND | ||||
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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.