BRYAN A AVERY


Address: 1506 S Oneida St, Appleton, WI 54915-1305
Phone: 9207306700

BRYAN A AVERY (NPI# 1548254568) 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) 1548254568
Entity Type Individual
Full Name BRYAN A AVERY
Credential MD
Practice Address 1506 S Oneida St
Appleton
WI 54915-1305
Practice Telephone 9207306700
Mailing Telephone 9207306700
Enumeration Date 2005-09-06
Last Update Date 2010-02-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
27537 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 31676700 05

Other Providers BRYAN AVERY

NPI Name Taxonomy Address Enumeration
1881977486 Bryan Avery Physical Therapist 441 Landmark Dr Ste 230, Casper, WY 82609-4567 2011-09-21

Office Location

Street Address 1506 S ONEIDA ST
City APPLETON
State WI
Zip Code 54915-1305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205828654 Gladys Beth Michaelson Registered Nurse 1506 S Oneida St, Appleton, WI 54915-1305 2005-08-19
1184249773 Allison Nierode Student in an Organized Health Care Education/Training Program 1506 S Oneida St, Appleton, WI 54915-1305 2020-06-10
1700401429 Amanda Sue Mansfield Occupational Therapy Assistant 1506 S Oneida St, Appleton, WI 54915-1305 2020-06-09
1063044782 Rebecca Ann Kloehn Nurse Practitioner 1506 S Oneida St, Appleton, WI 54915-1305 2020-02-11
1124658422 Jeremy Scott Wells Registered Nurse 1506 S Oneida St, Appleton, WI 54915-1305 2020-01-25
1477104388 Hitomi Gunsolley Psychologist 1506 S Oneida St, Appleton, WI 54915-1305 2019-09-23
1861045957 Brianna M Montano Counselor 1506 S Oneida St, Appleton, WI 54915-1305 2019-07-18
1902458177 Kelsey Gregory Nurse Practitioner 1506 S Oneida St, Appleton, WI 54915-1305 2019-07-09
1700442100 Maija K West Occupational Therapist 1506 S Oneida St, Appleton, WI 54915-1305 2019-05-13
1750947263 Samuel Markert Nurse Practitioner 1506 S Oneida St, Appleton, WI 54915-1305 2019-05-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205466737 Leyes Robers Dental LLC Dentist 3216 W County Rd Kk, Appleton, WI 54915 2020-01-23
1912426958 Shanna L. Larsen Registered Nurse 1101 E. South River St., Appleton, WI 54915 2017-09-11
1477082816 Amy Fazel Driver 226 E Calumet St, Appleton, WI 54915 2017-06-08
1871940213 B.a.israel LLC Community Based Residential Treatment Facility, Mental Illness N9520 Silver Court, Appleton, WI 54915 2016-05-16
1982933479 Stephanie I. Braski Counselor 1531 S. Oneida St, Appleton, WI 54915 2009-12-14
1386808319 Shawn S Williamson Emergency Medicine 1506 South Oneida Street, Appleton, WI 54915 2008-07-18
1700040870 Heidi Jo Van Toll Occupational Therapist 1335 S Oneida Street, Appleton, WI 54915 2008-07-17
1669639142 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center N9642 County Rd N, Appleton, WI 54915 2008-05-21
1265699748 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 1531 S Madison St Fl 4, Appleton, WI 54915 2008-05-21
1073770558 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 1531 S Madison St Ste 580, Appleton, WI 54915 2008-05-21
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033422860 Sanjeevkumar Ashok Patel Internal Medicine 2500 E Capitol Dr Ste 1700, Appleton, WI 54911-8735 2010-07-21
1871587667 Bradley L Lauderdale Internal Medicine 1506 S Oneida St, Appleton, WI 54915-1305 2005-09-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790307080 Rihawi Md Sc Internal Medicine 2801 W Kinnickinnic River Pkwy Ste 445, Milwaukee, WI 53215-3669 2020-05-11
1194377747 Samuel Lerush Butler Internal Medicine 2314 Dahlk Cir, Verona, WI 53593-8846 2019-07-14
1750810784 Marjorie F Maxwell Internal Medicine 2823 N University Dr Apt 104, Waukesha, WI 53188-1428 2017-06-04
1326477233 Aasim Mohammed Internal Medicine 116 N Dodge St Ste 201, Burlington, WI 53105-1963 2013-11-01
1275895336 Deborah Jean Mcnear Internal Medicine 11516 N Justin Dr, Mequon, WI 53092-2866 2012-06-13
1124284054 David Y Rosenzweig Internal Medicine 6236 Upper Pkwy N, Wauwatosa, WI 53213-2430 2008-07-30
1033389473 Pamela Aird Wilson Internal Medicine 6001 Galley Ct, Madison, WI 53705-4429 2008-02-29
1699835256 Stuart A Levy Internal Medicine 9509 N Wakefield Ct, Milwaukee, WI 53217-1245 2006-12-12
1861563058 Omprakash Ahuja Internal Medicine 3070 N 51st Street, Suite 506, Milwaukee, WI 53210-1645 2006-11-11
1508896671 Iftekhar Bader Internal Medicine 3803 Spring St, Ste 600, Racine, WI 53405-1660 2006-07-04
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Competitor

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City APPLETON
Zip Code 54915

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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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