Whalio Doctors

NPI 1639523277

Dr Bryan Vyverberg MD, PLLC

Organisation Child & Adolescent Psychiatry Physician Gulfport, MS

Practice location

Address
8990 Lorraine Rd, Gulfport, MS 39503-4176
Phone
(228) 331-3310
Fax
(228) 284-1608

Authorised official

Name
Bryan Vyverberg
Title
Owner
Phone
(228) 331-3310

Registered specialties (2)

Child & Adolescent Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 22206 (MS)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 22206 (MS)

Registry record

NPI
1639523277
Entity type
Organization
NPI issued
20 Apr 2016
Record last updated
20 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.