Provider Demographics
NPI:1972574184
Name:BRYSON, ALOHA E (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ALOHA
Middle Name:E
Last Name:BRYSON
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 90
Mailing Address - Street 2:
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27323-0090
Mailing Address - Country:US
Mailing Address - Phone:336-349-7328
Mailing Address - Fax:
Practice Address - Street 1:465 GARDNER RD
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-8178
Practice Address - Country:US
Practice Address - Phone:336-349-7328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200001566207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89129XPMedicaid
NC129XPOtherBCBS
NCP00223638OtherRAILROAD MEDICARE
NCH50019Medicare UPIN
NC2292227AMedicare PIN