MEDICARE: JESSICA EBONY BRYANT

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	171M00000X	Case Manager/Care Coordinator		SC

General Provider Information

NPI Number	:	1750245882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA EBONY BRYANT

Provider Business Mailing Address
First Line	:	2161 BARHAMVILLE RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-1121
Country	:	US
Telephone Number	:	803-261-6755
Fax Number	:

Provider Business Practice Location Address
First Line	:	2161 BARHAMVILLE RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-1121
Country	:	US
Telephone Number	:	803-261-6755
Fax Number	:

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

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

Similar Medicare Providers

1558246397 — BUTTERFLY STEPS, LLC
Practice Location Address:

2161 BARHAMVILLE RD
COLUMBIA, SC
29204-1121

Practice Phone: 803-261-6755
Practice Fax:

1356125983 — DESTINY MICHELLE BROWN
Practice Location Address:

2161 BARHAMVILLE RD
COLUMBIA, SC
29204-1121

Practice Phone: 803-261-6755
Practice Fax:

1487605853 — DR. GREGORY BROTZMAN MD
Practice Location Address:

1121 E NORTH AVE , COLUMBIA-ST. MARY'S FAMILY PRACTICE
MILWAUKEE, WI
53212-3515

Practice Phone: 414-267-6500
Practice Fax: 414-267-3895

1740231570 — MR. DANIEL J HELLER PA-C
Practice Location Address:

1121 E NORTH AVE , COLUMBIA-ST. MARY'S FAMILY PRACTICE
MILWAUKEE, WI
53212-3515

Practice Phone: 414-267-6500
Practice Fax: 414-267-3894

1326099169 — DR. GARY LEE LEE KOLESARI MD
Practice Location Address:

1121 E NORTH AVE , COLUMBIA-ST. MARY'S FAMILY MEDICINE
MILWAUKEE, WI
53212-3515

Practice Phone: 414-267-6502
Practice Fax: 414-267-3892

1235180084 — DR. DAVID P JOHNSON MD
Practice Location Address:

1121 E NORTH AVE , COLUMBIA-ST. MARY'S FAMILY PRACTICE
MILWAUKEE, WI
53212-3515

Practice Phone: 414-267-6500
Practice Fax: 414-267-3894

Directions to “ JESSICA EBONY BRYANT ” 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 © 2007-2025 (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.