IndividualActive
Bryan Desouza, M.D.
NPI 1427138486 · Clinical Neurophysiology Physician · Wynnewood, PA
Provider details
- NPI number
- 1427138486
- Entity type
- Individual
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD052950L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
100 E Lancaster Ave
Suite 312
Wynnewood, PA 19096-3450
Phone: (610) 649-6090
Fax: (610) 640-6087
Approximate (ZIP-level) locationGet directions
Mailing address
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.