MARK E BRYANT


Address: 620 John Paul Jones Cir, Portsmouth, VA 23708-2111
Phone: 7579539000

MARK E BRYANT (NPI# 1205954104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205954104
Entity Type Individual
Full Name MARK E BRYANT
Credential IDC
Practice Address 620 John Paul Jones Cir
Portsmouth
VA 23708-2111
Mailing Address 4621 Marlwood Way
Virginia Beach
VA 23462-7244
Practice Telephone 7579539000
Mailing Telephone 7579538883
Enumeration Date 2007-03-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers MARK BRYANT

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1922078963 Mark W Bryant Chiropractor 232 S Main St, Monticello, AR 71655-4730 2006-01-24
1467449868 Mark Bryant Optometrist 4004 Tuscarawas St W, Canton, OH 44708-5503 2005-09-30
1508860099 Mark L Bryant Optometrist 1011 N 4th St, Cordele, GA 31015 2005-06-13
1194295295 Mark Bryant Non-emergency Medical Transport (VAN) 466 Shadowood Dr, Ridgeland, MS 39157-4177 2018-11-30
1013211101 Mark Douglas Bryant Marriage & Family Therapist 9343 Tech Center Dr Fl 2, Sacramento, CA 95826-2563 2011-01-04
1093939746 Mark Kevin Bryant Optometrist 322 Washington St, Hoboken, NJ 07030-4832 2007-04-12
1174646087 Mark Anthony Bryant Physician Assistant 19 Medical Loop, Suite 3, Whitley City, KY 42653 2007-04-06
1194850255 Mark Landon Bryant Counselor 6601 W 12th St, Little Rock, AR 72204-1513 2007-02-22

Office Location

Street Address 620 JOHN PAUL JONES CIR
City PORTSMOUTH
State VA
Zip Code 23708-2111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427054840 Debra Tooke Crowell Registered Nurse 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2005-06-21
1659970424 Jennifer T Birchwale Student in an Organized Health Care Education/Training Program 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-10-22
1861091985 Carin Kimberly Teeters Psychologist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-10-20
1275130825 Dartangion Pierre Walker Dental Hygienist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-10-07
1750996054 Kevin Wilfong Psychologist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-09-14
1598379901 Paula Shepard Psychologist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-09-02
1578177234 Rebekah Gunter Psychologist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-09-01
1225641863 Dylan Quoc-chuong Vu Dentist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-08-24
1467060111 Ili Yuan Dentist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-07-20
1750909172 Marsades Ceasar Social Worker 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-07-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932724754 William Dowling Student in an Organized Health Care Education/Training Program 260 John Paul Jones Circle, Fpo, AA 23708 2020-06-09
1760003156 Kylie Miller Student in an Organized Health Care Education/Training Program 600 John Paul Jones Circle, Portsmouth, VA 23708 2020-04-27
1750900304 Jonathan David Hickman Student in an Organized Health Care Education/Training Program Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 2020-04-14
1447716550 Nathan Le Holterman Student in an Organized Health Care Education/Training Program Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 2019-02-13
1467930545 Jonathan Volland Dentist Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 2018-08-01
1629570171 Brendan James O'shea Student in an Organized Health Care Education/Training Program 690 John Paul Jones Circle, Fpo, AA 23708 2018-03-01
1467909077 Patricia Hicks Smith Nurse Practitioner 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 2016-09-01
1790139392 Lauren Pitters Student in an Organized Health Care Education/Training Program 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 2016-04-20
1841683745 Karrie Anne Brondell Walker Student in an Organized Health Care Education/Training Program 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 2015-03-17
1962821967 Jody Manners Psychiatry & Neurology 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 2014-04-08
Find all providers in zip 23708

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073941811 Aaron Pines Military Health Care Provider 264 Tigerlilly Dr, Portsmouth, VA 23701-2727 2013-10-14
1558658757 Gary James Sweet Military Health Care Provider 1 Ayres Circle, Bldg. H-1, Pnsy, Naval Branch Health Clinic, Portsmouth, NH 03804 2011-07-08
1093019853 Jeffrey Wilcox Military Health Care Provider Bldg 1575 Norfolk Naval Shipyard, Maritime Expeditionary Support Group Two, Portsmouth, VA 23709 2011-01-07
1558592675 Kevin Leigh Russell Military Health Care Provider Msron-6, Bldg 15, Norfolk Naval Shipyard, Portsmouth, VA 23709 2009-08-06
1144479213 Jay Hays Mcdowell Sr. Military Health Care Provider Bhc Nnsy, Bldg 277, Portsmouth, VA 23709-1001 2008-09-15
1356533731 Teresa A Kirkland Military Health Care Provider Code 100 M, Building 277, Portsmouth, VA 23709-5000 2007-08-09
1326242215 Thomas Michael Kaptur Military Health Care Provider Naval Costal Warfare Squadron Four, Norfolk Naval Shipyard Bldg 11, Portsmouth, VA 23701 2007-06-13
1861600389 Christopher Robin Maurer Military Health Care Provider Ncws 4, Ibu 41, Nnsy Bldg 11, Portsmouth, VA 23709 2007-05-18
1588879779 Ralph Allen Rowe Jr. Military Health Care Provider Mobile Security Squadron Six, Nnsy Bld 15, Portsmouth, VA 23709-5000 2007-05-11
1609080589 Luis Alexander Glinton Military Health Care Provider Norfolk Naval Shipyard, Bldg 15, Portsmouth, VA 23709 2007-05-09
Find all providers in PORTSMOUTH

Competitor

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City PORTSMOUTH
Zip Code 23708

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Dataset Information

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.

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