What is Bryan Otley's NPI number?

Bryan Otley's National Provider Identifier (NPI) is 1508671066, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Bryan Otley's specialty?

Bryan Otley is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Bryan Otley located?

Bryan Otley's practice location on file with NPPES is 1325 E Fortification St, Jackson, MS 39202-2442.

What is Bryan Otley's phone number?

The practice phone number listed in the NPPES registry for Bryan Otley is (601) 354-4488.

Is Bryan Otley's NPI active?

Yes — Bryan Otley's NPI (1508671066) is active in the NPPES registry as of the last update on 2026-03-09.

IndividualActive

Bryan Otley, PA-C

NPI 1508671066 · Physician Assistant · Jackson, MS

Bryan Otley, PA-C is a Physician Assistant provider in Jackson, MS (NPI 1508671066).

Provider details

NPI number: 1508671066
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Basic profile(49/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1325 E Fortification St

Jackson, MS 39202-2442

Phone: (601) 354-4488

Fax: (601) 351-5980

Street-level locationGet directions

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Mailing address