MEDICARE: MARK BRYSON

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	343900000X	Non-emergency Medical Transport (VAN)		IN

General Provider Information

NPI Number	:	1992658074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK BRYSON

Provider Business Mailing Address
First Line	:	6435 BAY VISTA CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-1423
Country	:	US
Telephone Number	:	901-542-8634
Fax Number	:

Provider Business Practice Location Address
First Line	:	6435 BAY VISTA CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-1423
Country	:	US
Telephone Number	:	901-542-8634
Fax Number	:

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

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “ MARK BRYSON ” Practice Location

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