Individual
DR. BRYON EDWARD NASTASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(614) 210-1885
Mailing address
438 OLIVER RD, SEWICKLEY, PA 15143-1034
(708) 359-4634
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
0101282143
VA
2085R0202X
Diagnostic Radiology Physician
0101282143
VA
2085R0202X
Diagnostic Radiology Physician
318477
NC
2085R0202X
Diagnostic Radiology Physician
320535
NY
2085R0202X
Diagnostic Radiology Physician
35.124215
OH
2085R0202X
Diagnostic Radiology Physician
89551
SC
2085R0202X
Diagnostic Radiology Physician
MD444989
PA
2085R0202X
Diagnostic Radiology Physician
ME165186
FL
2085R0202X
Diagnostic Radiology Physician
MT191388
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027147120001
—
PA
01
—
2676190
BLUE CROSS BLUE SHIELD
PA
05
—
3810003808
—
WV
Enumeration date
09/07/2007
Last updated
02/07/2025
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