Look up the most recent NPI and PECOS records

Tiffany Renee' Bryan

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as TIFFANY BRYAN.

Based on the most recent information from CMS, provider Tiffany Renee' Bryan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1740787332
Provider Type
Individual
Full Name
Bryan, Tiffany Renee'
Title
Dr.
Credential
DO

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/10/2018
Last Updated
5/23/2024

Contact Information

Practice Location

131 Rinehart Way, Aiken, SC 29803-1703

(803) 335-2200

(803) 649-7966

Mailing Location

PO Box 2510, Evans, GA 30809-2510

(706) 922-8251

(706) 922-6695

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 83726 South Carolina

Provider Identifiers

ID	Description	Issuer
ID 83726	Description Other	Issuer LICENSE South Carolina

Tiffany Renee' Bryan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Vaughters, Ray B.

Meiler, Mark J

Manigo-Johnson, Monica

Vaughters Family Practice Llc

Youmans, Stephen C

Muniz, Leopoldo M

Keigans, Mary Cade

University Medical Associates Of Aiken Pa

Schwartz, Alan Christopher

Moore, Thomas Allen