Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790899912 Individual Practitioner Male Practitioner

Dr. Brad Young Bryan , DMD

Dentist - General Practice • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Brad Bryan, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jackson, MS. Practice services are available at 4463 N STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4463 N State St

Jackson, MS 392065306

Telephone 6017142908
Associated Practice Facility / Clinic
🏢 Hattiesburg Road Dental, P.c. Facility NPI 1023241767

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
96 Specialists

Practicing in Jackson, MS (895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MS 3347-05

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Gail Benton , DDS

Dentist - Pediatric Dentistry

NPI 1497747661

Doctor of Dental Surgery

Dr. Lauren Crenshaw , DMD

Dentist - General Practice

NPI 1619262318

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 31, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2015

Registered at 4463 N STATE ST, JACKSON, MS 392065306 (Tel: 6017142908)

📍
Updated Business Mailing Address March 31, 2015

Registered at 4463 N STATE ST, JACKSON, MS 392065306 (Tel: 6019465908)

👤
Provider Name / Credentials Updated March 31, 2015

Recorded as BRAD BRYAN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2015

Dentist (License #3347-05 in MS)

🟢
Initial NPI Registration & Enumeration August 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790899912
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2006
Last Update: March 31, 2015
Sole Proprietor: No

Mailing Address

4463 N State St

Jackson, MS 392065306

Phone: 6019465908

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.