National Provider Identifier
Bryan Burroughs, NURSE PRACTIONER
Bryan Burroughs, NURSE PRACTIONER is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 319-0785.
Profile Overview
- NPI
- 1457784647
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- August 12, 2013
- Last Updated
- April 08, 2025
Practice Location
- 1200A Scottsville RD Ste 39
- Rochester, NY 14624-5703
Phone: (585) 319-0785
Mailing Address
- 28 Harvest Ridge Trl
- West Henrietta, NY 14586-8920
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1457784647
- Entity Type
- Individual
- Last Name
- Burroughs
- First Name
- Bryan
- Credential
- NURSE PRACTIONER
- Provider Other Last Name
- Burroughs
- Provider Other First Name
- Bryan
- Provider Other Middle Name
- J
- Provider Other Credential Text
- NP
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 28 Harvest Ridge Trl
- Mailing City
- West Henrietta
- Mailing State
- NY
- Mailing ZIP Code
- 14586-8920
- Mailing Country
- US
- Mailing Phone
- (585) 319-0785
- Mailing Fax
- (585) 287-6288
- Practice Street Address
- 1200A Scottsville RD Ste 39
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-5703
- Practice Country
- US
- Practice Phone
- (585) 319-0785
- Enumeration Date
- August 12, 2013
- Last Updated
- April 08, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 08, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Other Identifiers
- 1161 (NY)