Healthcare Provider Details

I. General information

NPI: 1033379078
Provider Name (Legal Business Name): PHILLIP BRYCE JONES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BRYCE PHILLIP JONES MD

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15000 WESTON PKWY OFC 171
CARY NC
27513-2118
US

IV. Provider business mailing address

PO BOX 24449
NEW YORK NY
10087-0589
US

V. Phone/Fax

Practice location:
  • Phone: 833-351-8255
  • Fax:
Mailing address:
  • Phone: 833-351-8255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2012-01269
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2012-01269
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: