DR BRYAN VYVERBERG MD, PLLC – NPI #1639523277
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

DR BRYAN VYVERBERG MD, PLLC is a psychiatry & neurologist located in GULFPORT, MS. NPPES has assigned the NPI number 1639523277 to DR BRYAN VYVERBERG MD, PLLC on April 20, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DR BRYAN VYVERBERG MD, PLLC below.

NPI Profile for
DR BRYAN VYVERBERG MD, PLLC

NPI Number
1639523277
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DR BRYAN VYVERBERG MD, PLLC
Primary location
8990 LORRAINE RD
GULFPORT, MS 39503-4176
Phone: (228) 331-3310 Fax: (228) 284-1608
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRYAN VYVERBERG
OWNER
Phone: (228) 331-3310
Updated
Identifiers

Identifiers for DR BRYAN VYVERBERG MD, PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS06322869
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)		 MS 22206
2084P0800X
- Psychiatry & Neurology / Psychiatry		 MS 22206

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.