Provider Demographics
NPI:1548767577
Name:BRYON, EVELYN (MD)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:BRYON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4269 N PINE ROAD, SUNSET STRIP MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6044
Mailing Address - Country:US
Mailing Address - Phone:954-578-0200
Mailing Address - Fax:954-578-0050
Practice Address - Street 1:3990 SHERIDAN STREET, EMERALD HILLS MEDICAL CENTER
Practice Address - Street 2:SUITE 101
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021
Practice Address - Country:US
Practice Address - Phone:954-987-4455
Practice Address - Fax:954-964-7342
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME148956208M00000X
390200000X
ZZME148956208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program