Kenneth R. Bryant, M.D.
Urology in St Petersburg, FL. Individual provider (NPI-1).
NPI number1790770899
StatusActive
Last updated in NPPESDec 28, 2012
Details
- NPI
- 1790770899
- Entity type
- Individual (NPI-1)
- Name
- Kenneth R. Bryant
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2005
- Last updated
- Dec 28, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | ME47531 | FL | Yes |
Practice location
620 10th Street N.St Petersburg, FL 33705-1407
Phone 727-824-7146 · Fax 727-824-7119
Mailing address
Po Box 12868St Petersburg, FL 33733-2868
Phone 727-824-8357 · Fax 727-824-3132
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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