Provider Demographics
NPI:1609600360
Name:BRYSON, JAMES BEVYN (DPT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BEVYN
Last Name:BRYSON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 FARO DR APT 2502
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-5025
Mailing Address - Country:US
Mailing Address - Phone:512-299-2934
Mailing Address - Fax:
Practice Address - Street 1:2765 BEE CAVES RD STE 209
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5994
Practice Address - Country:US
Practice Address - Phone:512-327-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist