What is Brad Bryan's NPI number?

Brad Bryan's National Provider Identifier (NPI) is 1790899912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Brad Bryan's specialty?

Brad Bryan is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Brad Bryan located?

Brad Bryan's practice location on file with NPPES is 4463 N State St, Jackson, MS 39206-5306.

What is Brad Bryan's phone number?

The practice phone number listed in the NPPES registry for Brad Bryan is (601) 714-2908.

Is Brad Bryan's NPI active?

Yes — Brad Bryan's NPI (1790899912) is active in the NPPES registry as of the last update on 2015-03-31.

IndividualActive

Brad Bryan, D.M.D.

NPI 1790899912 · General Practice Dentistry · Jackson, MS

Brad Bryan, D.M.D. is a General Practice Dentistry provider in Jackson, MS (NPI 1790899912).

Provider details

NPI number: 1790899912
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: D.M.D.
Sex: Male
Sole proprietor: No
License: 3347-05 (MS)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 3347-05 (MS)
Dental Providers

Profile Score

Detailed profile(91/100 index)

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

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% 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

4463 N State St

Jackson, MS 39206-5306

Phone: (601) 714-2908

Street-level locationGet directions

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Mailing address