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DR. JERRY L BRYAN PH.D.
NPI 1770628216
Psychologist - Clinical in El Paso, TX

Active since February 21, 2007
1200 GOLDEN KEY CIR, #140, EL PASO, TX 79925(915) 598-9052(915) 598-3674 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerry L Bryan Ph.d. NPPES

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

DR. JERRY L BRYAN PH.D. (NPI 1770628216) is an individual clinical provider in El Paso, Texas, licensed in Texas (21692) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1770628216
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JERRY L BRYANCredential: PH.D.
Location Address1200 GOLDEN KEY CIR, #140El Paso, TX 79925-5820
Mailing Address1200 Golden Key Cir, #140El Paso, TX 79925-5820 · (915) 598-9052 · Fax (915) 598-3674
Phone(915) 598-9052
Fax(915) 598-3674
Sole ProprietorYes
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770628216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 21692
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1200 GOLDEN KEY CIR, El Paso, TX 79925
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Other Identifiers 1

Medicare ID-Type Unspecified81294P

Other Providers at the Same Location NPPES 6

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

SIERRA OPTICAL
Durable Medical Equipment & Medical Supplies
1200 GOLDEN KEY CIR, SUITE 160
EL PASO, TX 79925
El Paso County (915) 593-6801
DANIEL SIDA CERTIFIED OPTICIAN
Technician/Technologist (Optician)
1200 GOLDEN KEY CIR, SUITE 160
EL PASO, TX 79925
El Paso County (915) 593-6801
JAHLON JORDEN BURNETT RBT
Technician, Health Information
1200 GOLDEN KEY CIR
EL PASO, TX 79925
El Paso County (915) 217-4648
KRYSTAL ANGELICA PUENTES
Specialist/Technologist (Speech-Language Assistant)
1200 GOLDEN KEY CIR
EL PASO, TX 79925
El Paso County (210) 698-9844
DYNAMIC CHANGE SYSTEMS, INC.
Psychologist (Clinical)
1200 GOLDEN KEY CIR, #140
EL PASO, TX 79925
El Paso County (915) 598-9052
AIDA ISELA GARCIA
Nurse Practitioner (Family)
1200 GOLDEN KEY CIR
EL PASO, TX 79925
El Paso County (915) 990-3670

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 Jerry Bryan's NPI number?

The NPI number for Jerry Bryan is 1770628216. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Jerry Bryan located?

Jerry Bryan practices at 1200 Golden Key Cir #140, El Paso, TX 79925. The listed phone number is (915) 598-9052.

What is Jerry Bryan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jerry Bryan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.