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Deactivated NPI 1245438084 Deactivated / Inactive NPI Male Practitioner

Bryan Bliss

Licensed Practical Nurse • Rochester, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bryan Bliss has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 03, 2007
NPI Deactivation Date June 19, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Bryan Bliss was a registered Licensed Practical Nurse practicing in Rochester, NY. Throughout an active medical career spanning 17 years, Bryan Bliss provided care at the practice location at 62 SPRUCE AVE until profile deactivation on 2024-06-19.

Practice Location & Contact Primary Location

Practice Address

62 Spruce Ave

Rochester, NY 146114024

Telephone 5858806396

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Rochester, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
1892 Specialists

Practicing in Rochester, NY (23738 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 277187-1

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 19, 2024

Record deactivated on June 19, 2024

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 62 SPRUCE AVE, ROCHESTER, NY 146114024 (Tel: 5858806396)

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Updated Business Mailing Address July 09, 2007

Registered at 62 SPRUCE AVE, ROCHESTER, NY 146114024 (Tel: 5858806396)

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Provider Name / Credentials Updated July 09, 2007

Recorded as BRYAN BLISS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Licensed Practical Nurse (License #277187-1 in NY)

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Initial NPI Registration & Enumeration July 03, 2007

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: 1245438084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2007
Last Update: July 09, 2007
Deactivation Date: June 19, 2024

Mailing Address

62 Spruce Ave

Rochester, NY 146114024

Phone: 5858806396

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.