DR. BRYAN XAVIER DESOUZA M.D. NPI 1427138486

NPI Information

  • NPI: 1427138486
  • Provider Name: DR. BRYAN XAVIER DESOUZA, M.D.
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 E LANCASTER AVE
    SUITE 312
    WYNNEWOOD, PA
    ZIP 19096
  • Phone: (610) 649-6090

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NPI Details

DR. Bryan Xavier Desouza, M.D. is a clinical neurophysiology psychiatry neurology in Wynnewood, PA with 41 years of experience. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). DR. Bryan Xavier Desouza, M.D. NPI is 1427138486. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

100 E LANCASTER AVE
SUITE 312
WYNNEWOOD, PA
ZIP 19096-450
Phone: (610) 649-6090
Fax: (610) 640-6087

The NPI 1427138486 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of anesthetic agent and/or steroid into arm nerve bundle (HCPCS:64415)
  • Injection of anesthetic agent and/or steroid into suprascapular shoulder nerve (HCPCS:64418)
  • Measurement of brain wave activity (eeg), awake and drowsy (HCPCS:95816)

The enumeration date for this NPI number is 10/16/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyMD052950LPENNSYLVANIANo
22084N0600XPsychiatry & NeurologyClinical NeurophysiologyMD052950LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10727230000OTHERPENNSYLVANIAKEYSTONE HEALTH PLAN EAST
2481009OTHERPENNSYLVANIAAETNA
31483921MEDICAIDPENNSYLVANIA
40792085-007OTHERPENNSYLVANIACIGNA
5438218OTHERPENNSYLVANIAAMERIHEALTH/KEYSTONE
6DE438218OTHERPENNSYLVANIABLUE CROSS BLUE SHIELD
7DE438218OTHERPENNSYLVANIABLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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