BRYAN L. LOGAN FNP
NPI 1548450349
Nurse Practitioner - Family in Sparta, MO

Q: What is Bryan Logan's NPI number?

The NPI number for Bryan Logan is 1548450349. It was assigned to this individual provider in the NPPES registry on July 27, 2007.

Q: What is Bryan Logan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Logan was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 July 27, 2007

155 VILLAGE DRIVE, SPARTA, MO 65673(417) 634-4203(417) 634-4505 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Bryan L. Logan Fnp NPPES

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

BRYAN L. LOGAN FNP (NPI 1548450349) is an individual family provider in Sparta, Missouri, licensed in Missouri (127563) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1548450349

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBRYAN L. LOGANCredential: FNP

Location Address155 VILLAGE DRIVESparta, MO 65673

Mailing AddressPo Box 183Sparta, MO 65753-0183 · (417) 634-4203 · Fax (417) 634-4505

Phone(417) 634-4203

Fax(417) 634-4505

Sole ProprietorNo

Enumeration DateJuly 27, 2007

Last NPPES UpdateJanuary 13, 2012

✔ NPI 1548450349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 127563

155 VILLAGE DRIVE, Sparta, MO 65673

Open in Google Maps ↗

Other Identifiers 2

Medicare PIN155310003MO

Medicaid427457205MO

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 Logan's NPI number?

The NPI number for Bryan Logan is 1548450349. It was assigned to this individual provider in the NPPES registry on July 27, 2007.

Where is Bryan Logan located?

Bryan Logan practices at 155 Village Drive, Sparta, MO 65673. The listed phone number is (417) 634-4203.

What is Bryan Logan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bryan Logan was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.