Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BRYAN NOLASCO
NPI 1073442844
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since May 18, 2026PECOS Enrolled
593 EDDY ST # 1111, PROVIDENCE, RI 02903(401) 793-2695(401) 444-4165 Get Directions Write a Review

NPPES record added: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryan Nolasco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN NOLASCO (NPI 1073442844) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073442844
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRYAN NOLASCO
Location Address593 EDDY ST # 1111Providence, RI 02903-4923
Mailing Address593 Eddy St # 1111Providence, RI 02903-4923 · (401) 793-2695 · Fax (401) 444-4165
Fax(401) 444-4165
Sole ProprietorNo
Enumeration DateMay 18, 2026
NPPES CertifiedMay 18, 2026
NPI 1073442844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
593 EDDY ST # 1111, Providence, RI 02903

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bryan Nolasco is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Nolasco's NPI number?

The NPI number for Bryan Nolasco is 1073442844. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Where is Bryan Nolasco located?

Bryan Nolasco practices at 593 Eddy St # 1111, Providence, RI 02903. The listed phone number is (401) 793-2695.

What is Bryan Nolasco's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bryan Nolasco enrolled in Medicare?

Yes. Bryan Nolasco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Nolasco was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.