COLEMAN J BRYAN JR. M.D., MSPH
NPI 1962585968
Pediatrics - Pediatric Hematology-Oncology in Jacksonville, FL

Q: What is Coleman Bryan's NPI number?

The NPI number for Coleman Bryan is 1962585968. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is Coleman Bryan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Coleman Bryan was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 23, 2006PECOS EnrolledAccepts Medicare Assignment

554 KEILY STREET, JACKSONVILLE, FL 32212(757) 953-7550(757) 953-7560 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Coleman J Bryan Jr. M.d., Msph NPPES

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

COLEMAN J BRYAN JR. M.D., MSPH (NPI 1962585968) is an individual pediatric hematology-oncology provider in Jacksonville, Florida, licensed in Virginia (0101254561) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2002).

NPPES Registry Identity

NPI1962585968

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameCOLEMAN J BRYAN JR.Credential: M.D., MSPH

Location Address554 KEILY STREETJacksonville, FL 32212

Mailing Address554 Keily StreetJacksonville, FL 32212 · (757) 953-7550 · Fax (757) 953-7560

Phone(757) 953-7550

Fax(757) 953-7560

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2002

Enumeration DateOctober 23, 2006

Last NPPES UpdateApril 11, 2017

✔ NPI 1962585968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in VA · 0101254561

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

554 KEILY STREET, Jacksonville, FL 32212

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Other Identifiers 4

Medicaid009994025AL

Medicaid009993995AL

Medicare ID-Type Unspecified051555914

Medicare UPINI29136

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

Coleman J Bryan Jr. M.d., Msph 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 ID7315989118

PECOS Enrollment IDI20251026000098

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.

DR. ERIN RAE SPADARO HAMERSLEY D.O.

Otolaryngology

554 KEILY STREET
JACKSONVILLE, FL 32212

Duval County (757) 953-7550

DR. GRADY AUSBUR FORTNER M.D.

Emergency Medicine

554 KEILY STREET
JACKSONVILLE, FL 32212

Duval County (757) 953-7550

DR. BENJAMIN DAVID HOAGLAND MD

Surgery

554 KEILY STREET
JACKSONVILLE, FL 32212

Duval County (757) 953-7550

ANDREW STEADMAN

Dentist

554 KEILY STREET
JACKSONVILLE, FL 32212

Duval County (757) 953-7550

DR. CHRISTOPHER SCOTT LOVE M.D.

Pediatrics

554 KEILY STREET
JACKSONVILLE, FL 32212

Duval County (757) 953-7550

ZACHARY J JIN DMD

Dentist

554 KEILY STREET, BUREAU OF MED AND SURG CREDENTIALING AND PRIVILEGEING
JACKSONVILLE, FL 32212

Duval County (757) 953-1897

TYLISHA ELYSE DESHIELDS LCSW-C

Social Worker (Clinical)

554 KEILY STREET
JACKSONVILLE, FL 32212

Duval County (757) 953-7550

JULIANNE BURKE DAVISON MD

Emergency Medicine

554 KEILY STREET
JACKSONVILLE, FL 32212

Duval County (757) 953-7550

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 Coleman Bryan's NPI number?

The NPI number for Coleman Bryan is 1962585968. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Coleman Bryan located?

Coleman Bryan practices at 554 Keily Street, Jacksonville, FL 32212. The listed phone number is (757) 953-7550.

What is Coleman Bryan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Coleman Bryan enrolled in Medicare?

Yes. Coleman 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 Coleman Bryan was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.