THOMAS ROBERT BRYSON MSN FNP-BC NPI 1780494724

NPI Information

  • NPI: 1780494724
  • Provider Name: THOMAS ROBERT BRYSON, MSN, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5617 S EDGEWOOD AVE
    COUNTRYSIDE, IL
    ZIP 60525
  • Phone: (708) 655-8015

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NPI Details

Thomas Robert Bryson, MSN, FNP-BC is a family nurse practitioner in Countryside, IL with 2 years of experience. Thomas Robert Bryson, MSN, FNP-BC NPI is 1780494724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5617 S EDGEWOOD AVE
COUNTRYSIDE, IL
ZIP 60525-428
Phone: (708) 655-8015

The NPI 1780494724 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 1/11/2025 and was last updated on 3/10/2025.

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
1163WE0003XRegistered NurseEmergency041.475444ILLINOISNo
2363LF0000XNurse PractitionerFamily209.031768ILLINOISYes

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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