# DR. JAY BRYAN BANNISTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619970746
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 11361 | NH | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 05/05/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01YP03530NH02 | ANTHEM | — |
| 01 | — | 222594672 | MARTINS POINT | NH |
| 05 | — | 30201994 | — | NH |
| 01 | — | 371511 | MVP | NH |
| 01 | — | 538777 | CIGNA | NH |
| 01 | — | 9034053 | AETNA | NH |
| 01 | — | AA95518 | HARVARD PILGRIM | NH |