| Brenda Gail Bryan, NP-C | |
|
1804 Forks Rd, Millwood, GA 31552-3014 | |
| (912) 327-1421 | |
| Not Available |
| Full Name | Brenda Gail Bryan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1804 Forks Rd, Millwood, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750887675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN231570 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
| Appling Hospital | Baxley, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sgmp Southland, Llc | 1153563770 | 18 |
| Southland Emergency Medical Services Consolidated, Llc | 4183871320 | 37 |
| Hospital Authority Of Liberty County | 5799772190 | 15 |
| Entity Name | Hospital Authority Of Liberty County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326079260 PECOS PAC ID: 5799772190 Enrollment ID: O20040428000377 |
| Entity Name | Hospital Authority Of Washington County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396770004 PECOS PAC ID: 4385552686 Enrollment ID: O20040507000100 |
| Entity Name | Sjc Oncology Services - Georgia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710196589 PECOS PAC ID: 8426086901 Enrollment ID: O20050727000606 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
| Entity Name | Southland Emergency Medical Services Consolidated, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
| Entity Name | Sgmp Southland, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447695085 PECOS PAC ID: 1153563770 Enrollment ID: O20130812000452 |
| Entity Name | Southland Bainbridge Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
| Entity Name | Southland Optim Jenkins Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265826242 PECOS PAC ID: 9537461538 Enrollment ID: O20160107002680 |
| Entity Name | Hospice Satilla Of Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508434408 PECOS PAC ID: 7416975677 Enrollment ID: O20210817002401 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Gail Bryan, NP-C 1804 Forks Rd, Millwood, GA 31552-3014 Ph: (912) 327-1421 | Brenda Gail Bryan, NP-C 1804 Forks Rd, Millwood, GA 31552-3014 Ph: (912) 327-1421 |