MEDICARE: NATALIE BRYAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	0133001079	VA

General Provider Information

NPI Number	:	1538675848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE BRYAN

Provider Business Mailing Address
First Line	:	5621 TIDEWATER DR
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23509-1497
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5621 TIDEWATER DR
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23509-1497
Country	:	US
Telephone Number	:	757-635-4244
Fax Number	:	757-271-0629

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2017
Last Update Date	:	11/17/2023

Similar Medicare Providers

1871480160 — JADA I DAWSON
Practice Location Address:

5621 TIDEWATER DR STE B
NORFOLK, VA
23509-1497

Practice Phone: 757-351-4244
Practice Fax:

1295390714 — SAMANTHA THEVERAPPERUMA BCABA
Practice Location Address:

5621 TIDEWATER DR
NORFOLK, VA
23509-1497

Practice Phone: 757-351-4244
Practice Fax:

1417572470 — LAURA BLANDINA POLLOCK RBT
Practice Location Address:

5621 TIDEWATER DR
NORFOLK, VA
23509-1497

Practice Phone: 757-351-4244
Practice Fax:

1407469539 — SHAHROZ DAUD
Practice Location Address:

5621 TIDEWATER DR
NORFOLK, VA
23509-1497

Practice Phone: 757-622-3776
Practice Fax:

1548940968 — TIFFANY BARNHART PT, DPT
Practice Location Address:

5621 TIDEWATER DR STE 2A
NORFOLK, VA
23509-1497

Practice Phone: 757-351-4244
Practice Fax:

1265288005 — BROOKE ALEXANDRA GONZALES BT
Practice Location Address:

5621 TIDEWATER DR
NORFOLK, VA
23509-1497

Practice Phone: 757-416-5290
Practice Fax:

Directions to “ NATALIE BRYAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.