Healthcare Provider Details

I. General information

NPI: 1013262518
Provider Name (Legal Business Name): BRYAN SCOTT ENGEL NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2012
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 JESSE JEWELL PKWY SE STE 200
GAINESVILLE GA
30501-3865
US

IV. Provider business mailing address

200 S ENOTA DR NE SUITE 200
GAINESVILLE GA
30501-3473
US

V. Phone/Fax

Practice location:
  • Phone: 770-297-7277
  • Fax:
Mailing address:
  • Phone: 770-534-2020
  • Fax: 770-534-8025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP183909
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: