Provider Demographics
NPI:1992382972
Name:BARBERY, BRYANT ANDREW (PT, DPT, ATC)
Entity Type:Individual
Prefix:
First Name:BRYANT
Middle Name:ANDREW
Last Name:BARBERY
Suffix:
Gender:M
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7792 SIDE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:SEAGROVE
Mailing Address - State:NC
Mailing Address - Zip Code:27341-8456
Mailing Address - Country:US
Mailing Address - Phone:336-437-5586
Mailing Address - Fax:
Practice Address - Street 1:292 COMMERCE AVE
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-7059
Practice Address - Country:US
Practice Address - Phone:910-477-6236
Practice Address - Fax:910-477-6357
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2021-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP20270225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist