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DR. TONYA LYNNE BRYAN M.D. NPI 1619939741


NPI Information

NPI: 1619939741
Provider Name: DR. TONYA LYNNE BRYAN, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
13819 HANSON BLVD NW
ANDOVER, MN
ZIP 55304
Phone: (763) 572-5710
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DR. Tonya Lynne Bryan, M.D. is a pediatrics in Andover, MN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Tonya Lynne Bryan, M.D. NPI is 1619939741. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13819 HANSON BLVD NW
ANDOVER, MN
ZIP 55304-608
Phone: (763) 572-5710
Fax: (763) 862-4490

The NPI 1619939741 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 enumeration date for this NPI number is 4/4/2006 and was last updated on 10/6/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics43377MINNESOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11201818OTHERMINNESOTAMEDICA
2128387OTHERMINNESOTAUCARE MN
3370002467MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
4011648300MEDICAIDMINNESOTA
51030993OTHERMINNESOTAPREFERRED ONE
67978447OTHERMINNESOTAAETNA
7HP35365OTHERMINNESOTAHEALTHPARTNERS
859G17BROTHERMINNESOTABCBS OF MN
91594350OTHERMINNESOTAAMERICA'S PPO
10H32157MEDICARE UPINMINNESOTA
116605841OTHERMINNESOTAMEDICA UC

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.