Healthcare Provider Details

I. General information

NPI: 1154692697
Provider Name (Legal Business Name): BRYCE MAY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2012
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 HARBOR BAY PKWY
ALAMEDA CA
94502-6553
US

IV. Provider business mailing address

1201 HARBOR BAY PKWY
ALAMEDA CA
94502-6553
US

V. Phone/Fax

Practice location:
  • Phone: 240-997-7670
  • Fax:
Mailing address:
  • Phone: 240-997-7670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number14-153435-051
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG178633
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: