Individual
KENNETH LANCE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34-005959
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0989097
—
OH
01
—
1184652539
GROUP NPI - JTDM FAMILY PRACTICE, LLC
OH
01
—
34-1689161
TAX ID
OH
01
—
H039441
MEDICARE
OH
Enumeration date
08/07/2006
Last updated
04/19/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up