MIRJAM BRYAN
NPI 1568864189
Physician Assistant in Richmond, VA

Active since September 26, 2014PECOS EnrolledAccepts Medicare Assignment
4825 S LABURNUM AVE, RICHMOND, VA 23231(804) 727-8101 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mirjam Bryan NPPES

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

MIRJAM BRYAN (NPI 1568864189) is an individual physician assistant in Richmond, Virginia, licensed in Virginia (0110004713) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2014).

NPPES Registry Identity

NPI1568864189
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIRJAM BRYAN
Location Address4825 S LABURNUM AVERichmond, VA 23231-2713
Mailing Address4825 S Laburnum AveRichmond, VA 23231-2713
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2014
Enumeration DateSeptember 26, 2014
Last NPPES UpdateMarch 1, 2019
NPI 1568864189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in VA · 0110004713 Licensed · 0110004713
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4825 S LABURNUM AVE, Richmond, VA 23231

Other Identifiers 2

Other0110004713VA · Pa-license
Medicaid0110004713VA

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

Mirjam Bryan 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 ID2668718727
PECOS Enrollment IDI20190110000216
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23231 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker (Clinical)
4825 S LABURNUM AVE
RICHMOND, VA 23231
Social Worker (Clinical)
4825 S LABURNUM AVE
RICHMOND, VA 23231
Counselor (Professional)
4825 S LABURNUM AVE
RICHMOND, VA 23231
Registered Nurse (Psychiatric/Mental Health)
4825 S LABURNUM AVE
RICHMOND, VA 23231
Counselor (Professional)
4825 S LABURNUM AVE
RICHMOND, VA 23231
Registered Nurse (Psychiatric/Mental Health)
4825 S LABURNUM AVE
RICHMOND, VA 23231
Registered Nurse (Psychiatric/Mental Health)
4825 S LABURNUM AVE
RICHMOND, VA 23231
Registered Nurse (Psychiatric/Mental Health)
4825 S LABURNUM AVE
RICHMOND, VA 23231

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 Mirjam Bryan's NPI number?

The NPI number for Mirjam Bryan is 1568864189. It was assigned to this individual provider in the NPPES registry on September 26, 2014.

Where is Mirjam Bryan located?

Mirjam Bryan practices at 4825 S Laburnum Ave, Richmond, VA 23231. The listed phone number is (804) 727-8101.

What is Mirjam Bryan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mirjam Bryan enrolled in Medicare?

Yes. Mirjam Bryan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mirjam Bryan was last updated on March 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.