Provider Demographics
NPI:1952944696
Name:GREGG, BRYCE ADAM (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:BRYCE
Middle Name:ADAM
Last Name:GREGG
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 COMMERCE ST STE 700
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37201-1835
Mailing Address - Country:US
Mailing Address - Phone:327-864-9708
Mailing Address - Fax:855-737-5542
Practice Address - Street 1:5444 WESTHEIMER RD STE 1000
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5318
Practice Address - Country:US
Practice Address - Phone:832-786-4970
Practice Address - Fax:855-737-5542
Is Sole Proprietor?:No
Enumeration Date:2019-10-25
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144001363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily