TAWANNA J BRYANT
NPI 1508035270
Physician Assistant - Surgical in Colton, CA

Q: What is Tawanna Bryant's NPI number?

The NPI number for Tawanna Bryant is 1508035270. It was assigned to this individual provider in the NPPES registry on February 26, 2008.

Q: What is Tawanna Bryant's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Tawanna Bryant was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 26, 2008PECOS EnrolledAccepts Medicare Assignment

400 N PEPPER AVE, DEPT.GENERAL SURGERY MOD 3, COLTON, CA 92324(909) 580-6210(909) 580-1363 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Tawanna J Bryant NPPES

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

TAWANNA J BRYANT (NPI 1508035270) is an individual surgical provider in Colton, California, licensed in California (PA19573) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1508035270

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameTAWANNA J BRYANT

Location Address400 N PEPPER AVE, DEPT.GENERAL SURGERY MOD 3Colton, CA 92324-1801

Mailing AddressPo Box 670Redlands, CA 92373-0221 · (909) 580-6210 · Fax (909) 580-1363

Phone(909) 580-6210

Fax(909) 580-1363

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateFebruary 26, 2008

Last NPPES UpdateNovember 29, 2021

✔ NPI 1508035270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA19573

400 N PEPPER AVE, Colton, CA 92324

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Other Identifiers 1

MedicaidGR0079700CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tawanna J Bryant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163573577

PECOS Enrollment IDI20090625000085

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE J CALHOUN

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