CODY BRYAN
NPI 1275301657
Counselor in Bentonville, AR

Active since December 15, 2023
1801 SW REDWOOD AVE, BENTONVILLE, AR 72713(479) 755-9748 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cody Bryan NPPES

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

CODY BRYAN (NPI 1275301657) is an individual counselor in Bentonville, Arkansas, licensed in Arkansas (A2310005) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1275301657
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameCODY BRYAN
Location Address1801 SW REDWOOD AVEBentonville, AR 72713-7344
Mailing Address4021 W Walnut St # 1230Rogers, AR 72756-1842
Sole ProprietorYes
Enumeration DateDecember 15, 2023
NPPES CertifiedDecember 15, 2023
NPI 1275301657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in AR · A2310005
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1801 SW REDWOOD AVE, Bentonville, AR 72713

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 Cody Bryan's NPI number?

The NPI number for Cody Bryan is 1275301657. It was assigned to this individual provider in the NPPES registry on December 15, 2023.

Where is Cody Bryan located?

Cody Bryan practices at 1801 SW Redwood Ave, Bentonville, AR 72713. The listed phone number is (479) 755-9748.

What is Cody Bryan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Cody Bryan was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.