Dr Bryan Vyverberg Md, Pllc

LBN: Dr Bryan Vyverberg Md, Pllc
Dr Bryan Vyverberg Md, Pllc is an health care organization with primary practice located at 8990 Lorraine Rd , Gulfport MS 39503-4176. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is the primary health care specialty. Dr Bryan Vyverberg Md, Pllc can be contacted via phone (228) 331-3310, or through Vyverberg, Bryan via phone (228) 331-3310.

Contact Information

Primary practice address
8990 Lorraine Rd Gulfport MS 39503-4176
Phone: (228) 331-3310
Fax: (228) 284-1608
Website:
Map and Directions
Authorized official contact:
Name: Vyverberg, Bryan Doctor of Medicine (MD)
Phone: (228) 331-3310

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 22206 Mississippi
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 22206 Mississippi

Profile Details

NPI number 1639523277
LBN Legal business name Dr Bryan Vyverberg Md, Pllc
DBA Doing business as
Authorized official Vyverberg, Bryan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2016
Last updated Apr 20th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639523277 NPPES
Mississippi MEDICAID 06322869

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