Bryan Vyverberg in Gulfport - Child & Adolescent Psychiatry
Bryan Vyverberg - NPI 1740272723
Bryan Vyverberg is a Child & Adolescent Psychiatry in Gulfport, Mississippi. Bryan Vyverberg practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Bryan Vyverberg is 1740272723. The last update date is 2021-06-23.
Bryan Vyverberg's current location address is 8845 Lorraine Rd, Gulfport, Mississippi. You can contact this provider via phone number 2282771771 and fax number 8667400655. The mailing address for Bryan Vyverberg is 8845 Lorraine Rd, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bryan Vyverberg |
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Address | 8845 Lorraine Rd, Gulfport, Mississippi |
Phone Number | 2282771771 |
Fax Number | 8667400655 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1740272723 |
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Provider Enumeration Date | 2005-08-17 |
Last Updated Date | 2021-06-23 |
Provider Mailing Address Detail
Address | 8845 Lorraine Rd |
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City | Gulfport |
State | Mississippi (MS) |
Post Code | 395035042 |
Phone Number | 2282771771 |
Fax Number | 8667400655 |
Provider's Primary Taxonomy Detail
Speciality | Child & Adolescent Psychiatry |
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Taxonomy | 2084P0804X |
Licence No | 10017 |
Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
6322869 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bryan Vyverberg by the Centers for Medicare & Medicaid Services?
The Bryan Vyverberg has been assigned the NPI (National Provider Identifier) 1740272723 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Bryan Vyverberg is physically located?
The Bryan Vyverberg is physically situated at the following address: 8845 Lorraine Rd, Gulfport, MS, 395035042.
What is the Bryan Vyverberg's area of specialization and corresponding taxonomy classification?
The Bryan Vyverberg's specialty field is Child & Adolescent Psychiatry, and it falls under the taxonomy code 2084P0804X, which categorizes healthcare providers based on their specialties.
On what date was the 1740272723 assigned to Bryan Vyverberg?
The Bryan Vyverberg was issued its 1740272723 on 2005-08-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Bryan Vyverberg's information last updated?
The Bryan Vyverberg's information was last updated on 2021-06-23.
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