BRYAN PACE GRAHAM


Address: 3500 Beaumont Rd, Beaumont, VA 23014-9999
Phone: 8045567277

BRYAN PACE GRAHAM (NPI# 1780881599) 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) 1780881599
Entity Type Individual
Full Name BRYAN PACE GRAHAM
Credential FNP
Practice Address 3500 Beaumont Rd
Beaumont
VA 23014-9999
Mailing Address Po Box 491
Beaumont
VA 23014-0003
Practice Telephone 8045567277
Practice Fax Number 8045566120
Mailing Telephone 8045567277
Mailing Fax Number 8045566120
Enumeration Date 2007-06-27
Last Update Date 2014-08-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024166660 VA Physician Assistants & Advanced Practice Nursing Providers

Other Providers BRYAN GRAHAM

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1861037327 Bryan Graham Student in an Organized Health Care Education/Training Program 1003 Colley Ave Apt 7, Norfolk, VA 23507-1644 2019-11-08
1033540299 Bryan Graham Case Manager/Care Coordinator 1111 Sw 28th St, Oklahoma City, OK 73109 2013-12-12
1083708937 Bryan Burk Graham Chiropractor 34 Long Pond Rd, Plymouth, MA 02360-2606 2006-10-03
1689080178 Bryan Graham Counselor 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 2014-07-07
1447674429 Bryan Douglas Graham Physical Therapist 25 Reynolds Mountain Blvd, Asheville, NC 28804-1270 2014-02-11
1811183445 Bryan Leslie Graham Physical Therapist 2030 Se Ocean Blvd, Oceanside Physical Therapy Inc, Stuart, FL 34996-3304 2007-09-18
1780892133 Bryan Douglas Graham Dentist 221 13th Avenue Pl Nw, Suite 102, Hickory, NC 28601-2596 2007-05-18

Office Location

Street Address 3500 BEAUMONT RD
City BEAUMONT
State VA
Zip Code 23014-9999

Providers in the same city

NPI Name Taxonomy Address Enumeration
1861093635 Janice Joseph Licensed Vocational Nurse 3705 Roland Rd, Beaumont, TX 77708-3211 2020-11-06
1518568096 Laura M Alli Pharmacist 5350 Old Dowlen Rd Apt 923, Beaumont, TX 77706-6642 2020-11-02
1558961532 Maame Sarpong Registered Nurse 1627 Manti Ct, Beaumont, CA 92223-3220 2020-10-28
1033719059 Kenesha Barnes Pathology 9120 Monica St, Beaumont, TX 77707-4634 2020-10-28
1013516954 Laurence Oliver Parker Physical Therapy Assistant 7655 Park North Dr Apt 806, Beaumont, TX 77708-2413 2020-10-21
1144827460 George Edward Hartsfield Counselor 7905 Silverleaf St, Beaumont, TX 77707-3624 2020-10-09
1033725718 Wendi Ellen Ames Nurse Practitioner 350 Pine St Ste 755, Beaumont, TX 77701-2437 2020-09-18
1669088373 A Tender Touch Senior Living LLC Assisted Living Facility 1651 Rose Ave, Beaumont, CA 92223-7174 2020-09-17
1306452008 Amazing Grace Care Services LLC Assisted Living Facility 43 Sitara Ave, Beaumont, CA 92223-3110 2020-09-17
1609481043 Alicia Georgetown Family Medicine 6920 Glen Willow Dr, Beaumont, TX 77706-4112 2020-09-12
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033725718 Wendi Ellen Ames Nurse Practitioner 350 Pine St Ste 755, Beaumont, TX 77701-2437 2020-09-18
1093340697 Amber Tenille Goldsmith Nurse Practitioner 4347 Phelan Blvd, Beaumont, TX 77707-2159 2020-03-04
1851925267 Trey Perkins Nurse Practitioner 3650 N Major Dr Ste A, Beaumont, TX 77713-9573 2020-02-25
1972141158 Lisa Marie Davila Nurse Practitioner 14870 Michelle Ln, Beaumont, TX 77713-2308 2019-12-18
1467095224 Fines Pafira Pruett Nurse Practitioner 35232 Hogan Dr, Beaumont, CA 92223-7407 2019-10-24
1952944399 Kevin Ray Jones Nurse Practitioner 6040 Carrie Ln, Beaumont, TX 77713-4192 2019-10-17
1447891320 Summer Mcclain Nurse Practitioner 740 Hospital Dr Ste 250, Beaumont, TX 77701-4666 2019-10-02
1114579059 Amy Rae Hederman Nurse Practitioner 3070 College St Ste 100b, Beaumont, TX 77701-4652 2019-07-11
1245898808 Primary Care Anywhere, Pllc Nurse Practitioner 4347 Phelan, Suite 101, Beaumont, TX 77707 2019-05-30
1548824253 Lisa Marie Leger Nurse Practitioner 3129 College St Ste 200, Beaumont, TX 77701-4682 2019-04-29
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Competitor

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City BEAUMONT
Zip Code 23014

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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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