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NPI Code Detail

MEDICARE: CARRIE R BRYAN CRNA

MEDICARE: CARRIE R BRYAN CRNA
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
1367500000XCertified Registered Nurse Anesthetist71586TX
2367500000XCertified Registered Nurse AnesthetistAP112826TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
386724UOTHERBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1811979594
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE R BRYAN CRNA
Provider Business Mailing Address
First Line : 2000 S MAYS ST STE 201
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-7580
Country : US
Telephone Number : 512-244-4272
Fax Number : 512-343-2745
Provider Business Practice Location Address
First Line : 8140 N MOPAC EXPY STE 3-210
Second Line :
City : AUSTIN
State : TX
Zip : 78759-8862
Country : US
Telephone Number : 512-343-2292
Fax Number : 512-343-2745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 11/24/2025

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Directions to “ CARRIE R BRYAN CRNA” Practice Location

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