HENRY GREENE BRYANT III DPM NPI 1003871013

Podiatrist in Augusta, GA

About HENRY BRYANT

Henry Bryant is a provider in Augusta, GA with more than 30 years of experience. The NPI number assigned to this provider is 1003871013. The practitioner's primary taxonomy code is Podiatrist (213E00000X). The provider is registered as an individual and their NPI record was last updated 2 years ago. Henry Bryant is registered with Medicare but might not accept claims assignment.

NPI1003871013 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name HENRY GREENE BRYANT III DPM
Provider Location Address2030 WALTON WAY AUGUSTA, GA 30904 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address4321 UNIVERSITY PKWY BLDG 2 SUITE 103 EVANS, GA 30809 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year1988
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-20-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-24-2015 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

HENRY GREENE BRYANT III DPM
2030 WALTON WAY
AUGUSTA, GA
ZIP 30904
Phone: (706) 738-1925
Fax: (706) 738-0705
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Mailing Address

HENRY GREENE BRYANT III DPM
4321 UNIVERSITY PKWY
BLDG 2 SUITE 103
EVANS, GA
ZIP 30809
Phone: (706) 738-1925
Fax: (706) 738-0705

Primary Taxonomy

Taxonomy Code213E00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
License No.POD000710
License StateGA
Taxonomy DescriptionA podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
U46560MEDICARE UPIN (02)
52473102OTHER (01)GA
00232658CMEDICAID (05)GA
3839091OTHER (01)GA
48SCBZROTHER (01)GA
480026650OTHER (01)GA

Map Location


HENRY GREENE BRYANT III DPM address is 2030 WALTON WAY AUGUSTA, GA 30904

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497144026E CLARK GARNER MD PC
Organization
Internal Medicine (Pulmonary Disease)2030 WALTON WAY
AUGUSTA, GA 30904
(706) 922-6300
1588685382 EDWARD CLARK GARNER M.D.
Individual
Internal Medicine (Pulmonary Disease)2030 WALTON WAY
AUGUSTA, GA 30904
(706) 922-6300
1679616072AUGUSTA PODIATRY ASSOCIATES
Organization
Podiatrist2030 WALTON WAY
AUGUSTA, GA 30904
(706) 738-1925
1821064445DR. JACK FREDERICK HAMILTON DPM
Individual
Podiatrist2030 WALTON WAY
AUGUSTA, GA 30904
(706) 738-1925