MR. RANDY WAYNE BRYSON (NPI# 1861540254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861540254 |
| Entity Type | Individual |
| Full Name | MR. RANDY WAYNE BRYSON |
| Credential | FNP |
| Practice Address |
3500 Hillcrest Dr Ste 1 Waco TX 76708-3144 |
| Mailing Address |
2000 S Mays St Ste 201 Round Rock TX 78664-7580 |
| Practice Telephone | 2547416641 |
| Practice Fax Number | 2545374693 |
| Mailing Telephone | 5122444272 |
| Mailing Fax Number | 5122442895 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
790930 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3500 HILLCREST DR STE 1 |
| City | WACO |
| State | TX |
| Zip Code | 76708-3144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710522859 | Mark Malone Md Pa | Anesthesiology | 3500 Hillcrest Dr Ste 1, Waco, TX 76708-3144 | 2019-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868613 | Sarah Bogacz | Behavior Technician | 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 | 2019-12-16 |
| 1700358215 | Albert Jacob Puente | Specialist/Technologist | 1101 North Q Ave, Clifton, TX 76708 | 2018-12-21 |
| 1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
| 1922393610 | Betty Hendricks | Nurse Practitioner | 4601 N 19th Street, Waco, TX 76708 | 2011-06-10 |
| 1023239498 | Esc Iv, Lp | Assisted Living Facility | 3801 Martin Luther King Jr Bvd, Waco, TX 76708 | 2007-05-01 |
| 1952429367 | Dod David Moore | Dentist | 10104 Saddle Creek Rd, Waco, TX 76708 | 2007-03-26 |
| 1851400295 | H-e-b, Lp | Clinical Medical Laboratory | 3801 N 19th St, Waco, TX 76708 | 2006-08-30 |
| 1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
| 1669493292 | Central Texas Anesthesiology Associates Inc | Anesthesiology | 3000 Herring, Waco, TX 76708 | 2006-07-21 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| Find all providers in zip 76708 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209559 | Veronica House | Nurse Practitioner | 358 Flint Rd, Waco, KY 40385-9714 | 2020-09-10 |
| 1215409065 | Ashley Danielle Edmondson | Nurse Practitioner | 318 Richland West Cir Ste A, Waco, TX 76712-7919 | 2018-12-18 |
| 1417426529 | Shane Moore | Nurse Practitioner | 7030 New Sanger Ave Ste 204, Waco, TX 76712-4074 | 2018-11-19 |
| 1588148290 | Catherine Paige Pollard | Nurse Practitioner | 120 Hillcrest Medical Blvd Ste 101, Waco, TX 76712-8949 | 2018-09-18 |
| 1578075081 | Ligia Liana Tofanel | Nurse Practitioner | 333 Londonderry Dr Ste 200, Waco, TX 76712-7930 | 2017-10-25 |
| 1114454410 | Joyce Belinda Ivie | Nurse Practitioner | 611 W Hwy 6 Ste 108, Waco, TX 76710-7545 | 2017-05-17 |
| 1700233004 | Kameron Harrison | Nurse Practitioner | 601 W Hwy 6 Ste 101, Waco, TX 76710-5592 | 2016-05-17 |
| 1508293705 | Katie A Carranza | Nurse Practitioner | 1800 Gurley Street, Waco, TX 76706-4025 | 2013-10-02 |
| 1710329859 | Rachel Paige Harrington | Nurse Practitioner | 4601 N. 19th Street, Bldg H, Waco, TX 76708-1261 | 2013-07-17 |
| 1255770970 | Michele Davis Groetzinger | Nurse Practitioner | 201 Westlane Cir, Waco, TX 76712-3186 | 2013-06-15 |
| Find all providers in WACO | ||||
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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.