Active NPI 1265635114 Individual Practitioner Female Practitioner

Dr. Bridget M Bryer , MD

Dermatology • Charlottesville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bridget Bryer, MD is a certified Dermatology practicing in Charlottesville, VA. With approximately 19 years of clinical experience since graduating from University Of Virginia School Of Medicine in 2007, Dr. Bryer delivers high-quality medical care to the local community at 1221 LEE ST.

Dr. Bryer is affiliated with University Of Virginia Physicians Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1221 Lee St

Charlottesville, VA 229084631

Telephone 4349245115

Fax 4342444504

Associated Practice Facility / Clinic

🏢 University Of Virginia Physicians Group Facility NPI 1821545294

Medicare Profile & Education

Medical School

University Of Virginia School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Charlottesville, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -0.5 yrs vs City Avg

City Avg: 19.5 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

43 Specialists

Practicing in Charlottesville, VA (440 Statewide)

Telehealth Adoption Rate

7.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bryer (19 Years) 19 Yrs

Charlottesville Specialty Average (19.5 Years) 19.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	798	182	$24.00	$1.96
17003 Destruction of precancer skin growth, 2-14 growths	787	150	$24.00	$1.97
99213 Established patient office or other outpatient visit, typically 15 minutes	538	431	$238.00	$63.18
99213 Established patient office or other outpatient visit, typically 15 minutes	419	331	$238.00	$64.01
17000 Destruction of skin growth	323	272	$187.00	$41.58
17000 Destruction of skin growth	266	207	$187.00	$43.50
17110 Destruction of up to 14 skin growths	229	194	$296.00	$64.85
17110 Destruction of up to 14 skin growths	180	147	$296.00	$65.56
11102 Tangential biopsy of single skin lesion	102	97	$265.00	$24.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	77	$335.00	$92.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	76	$149.00	$33.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	67	$149.00	$35.50
11102 Tangential biopsy of single skin lesion	69	59	$265.00	$26.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$299.00	$77.29
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	29	25	$322.00	$31.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$299.00	$78.68
17004 Destruction of precancer skin growth, 15 or more growths	24	17	$418.00	$97.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$335.00	$94.82
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	17	$654.00	$144.84
11103 Biopsy of related skin growth, each additional growth	19	15	$141.00	$20.88
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$654.00	$158.13
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	18	16	$265.00	$26.17
11104 Punch biopsy, first skin growth	17	17	$333.00	$41.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$458.00	$128.08
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	14	13	$322.00	$33.10
11900 Injection into skin growth, 1-7 growths	13	12	$146.00	$23.04
17004 Destruction of precancer skin growth, 15 or more growths	11	11	$418.00	$95.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	878	184	$24.00	$2.03
17003 Destruction of precancer skin growth, 2-14 growths	737	130	$24.00	$2.03
99213 Established patient office or other outpatient visit, typically 15 minutes	490	400	$231.03	$65.30
17000 Destruction of skin growth	334	275	$187.00	$46.31
99213 Established patient office or other outpatient visit, typically 15 minutes	332	264	$231.82	$65.41
17000 Destruction of skin growth	226	179	$187.00	$44.01
17110 Destruction of up to 14 skin growths	181	162	$296.00	$63.71
17110 Destruction of up to 14 skin growths	118	103	$296.00	$63.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	100	$325.15	$96.66
11102 Tangential biopsy of single skin lesion	87	84	$265.00	$25.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	80	$143.22	$35.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$299.00	$81.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	55	$144.54	$35.19
11102 Tangential biopsy of single skin lesion	42	41	$265.00	$25.88
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	28	27	$322.00	$34.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$458.00	$132.02
17004 Destruction of precancer skin growth, 15 or more growths	26	18	$418.00	$98.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$299.00	$81.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$325.42	$96.65
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	22	20	$265.00	$20.71
11900 Injection into skin growth, 1-7 growths	20	16	$146.00	$27.52
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	18	$654.00	$147.69
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$210.00	$47.58
11104 Punch biopsy, first skin growth	15	15	$333.00	$40.26
11103 Biopsy of related skin growth, each additional growth	13	12	$141.00	$20.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,460	258	$21.08	$5.36
17003 Destruction of precancer skin growth, 2-14 growths	556	132	$24.00	$2.06
99213 Established patient office or other outpatient visit, typically 15 minutes	529	460	$143.89	$84.47
17000 Destruction of skin growth	400	345	$141.25	$49.16
99213 Established patient office or other outpatient visit, typically 15 minutes	276	266	$206.41	$66.48
17110 Destruction of up to 14 skin growths	213	192	$216.24	$95.08
17000 Destruction of skin growth	191	183	$187.00	$43.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	162	145	$86.11	$53.13
11102 Tangential biopsy of single skin lesion	120	116	$207.25	$68.65
17110 Destruction of up to 14 skin growths	120	112	$296.00	$63.12
11102 Tangential biopsy of single skin lesion	91	88	$265.00	$27.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	78	$300.61	$97.07
17004 Destruction of precancer skin growth, 15 or more growths	76	67	$380.34	$162.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	65	$224.25	$119.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$298.44	$82.24
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	51	41	$511.94	$188.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$288.10	$91.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	42	$124.86	$36.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$456.73	$134.73
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	27	27	$243.19	$91.71
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	21	21	$195.33	$63.39
11103 Biopsy of related skin growth, each additional growth	19	18	$95.53	$49.18
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$654.00	$156.23
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$189.50	$58.43
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	18	17	$265.00	$22.73
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	16	15	$322.00	$33.35
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$209.57	$48.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$345.64	$156.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,690	419	$19.00	$6.60
99213 Established patient office or other outpatient visit, typically 15 minutes	848	659	$107.00	$91.99
17000 Destruction of skin growth	716	551	$112.00	$50.32
17110 Destruction of up to 14 skin growths	395	313	$159.00	$109.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	358	309	$71.00	$56.89
11102 Tangential biopsy of single skin lesion	258	235	$155.00	$91.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	174	$161.00	$130.38
17004 Destruction of precancer skin growth, 15 or more growths	161	106	$364.00	$166.86
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	80	66	$339.00	$225.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$264.00	$169.90
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	42	41	$170.00	$120.20
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	40	40	$132.00	$86.30
11103 Biopsy of related skin growth, each additional growth	31	27	$69.00	$54.16
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$120.00	$73.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	25	18	$5.00	$1.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$197.00	$113.77
11900 Injection into skin growth, 1-7 growths	22	16	$84.00	$53.68
11104 Punch biopsy, first skin growth	22	21	$190.00	$133.47
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	17	$486.00	$255.75
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	21	20	$182.38	$126.64
17111 Destruction of skin growth, 15 or more growths	12	12	$183.00	$136.15
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	12	12	$331.00	$188.17
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	12	$459.00	$226.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,831	326	$19.00	$6.07
99213 Established patient office or other outpatient visit, typically 15 minutes	760	647	$107.00	$75.56
17000 Destruction of skin growth	564	456	$107.40	$48.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	375	279	$70.98	$45.38
17110 Destruction of up to 14 skin growths	333	274	$159.00	$105.08
11102 Tangential biopsy of single skin lesion	224	205	$146.64	$85.15
17004 Destruction of precancer skin growth, 15 or more growths	120	87	$364.00	$161.02
99202 New patient office or other outpatient visit, typically 20 minutes	89	89	$120.00	$76.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	63	$161.00	$109.20
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	68	56	$339.00	$220.26
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	56	53	$180.00	$127.78
11103 Biopsy of related skin growth, each additional growth	43	30	$63.14	$54.32
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	39	37	$161.54	$112.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	32	21	$5.00	$1.44
11104 Punch biopsy, first skin growth	29	27	$190.00	$123.92
11900 Injection into skin growth, 1-7 growths	28	19	$84.00	$46.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$197.00	$105.68
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	17	$486.00	$253.59
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$232.00	$131.29
69100 Biopsy of ear	14	13	$208.00	$78.71
17111 Destruction of skin growth, 15 or more growths	12	12	$183.00	$127.76
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$522.00	$211.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,522	412	$19.00	$5.59
99213 Established patient office or other outpatient visit, typically 15 minutes	789	662	$106.99	$73.99
17000 Destruction of skin growth	686	533	$107.00	$50.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	427	323	$71.00	$44.94
17110 Destruction of up to 14 skin growths	338	266	$159.00	$104.42
11102 Tangential biopsy of single skin lesion	234	209	$146.00	$83.00
99202 New patient office or other outpatient visit, typically 20 minutes	135	135	$120.00	$75.58
17004 Destruction of precancer skin growth, 15 or more growths	118	85	$363.72	$152.14
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	94	67	$339.00	$213.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	58	$161.00	$108.47
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	42	41	$173.13	$129.24
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	41	37	$148.78	$109.75
11104 Punch biopsy, first skin growth	32	30	$174.88	$124.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	32	19	$5.00	$1.60
11103 Biopsy of related skin growth, each additional growth	31	26	$63.00	$53.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$197.00	$107.91
36415 Insertion of needle into vein for collection of blood sample	28	13	$14.00	$2.94
11900 Injection into skin growth, 1-7 growths	27	19	$84.00	$45.32
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	14	$486.00	$233.55
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	15	$464.00	$305.02
69100 Biopsy of ear	14	14	$208.00	$91.47
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$463.00	$219.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,229	359	$17.99	$5.22
99213 Established patient office or other outpatient visit, typically 15 minutes	843	689	$101.44	$72.34
17000 Destruction of skin growth	594	465	$101.85	$51.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	509	359	$67.26	$43.55
17110 Destruction of up to 14 skin growths	342	274	$150.84	$105.36
11100 Biopsy of single growth of skin and/or tissue	302	260	$137.33	$87.82
99202 New patient office or other outpatient visit, typically 20 minutes	170	170	$113.85	$74.19
17004 Destruction of precancer skin growth, 15 or more growths	129	86	$346.35	$142.57
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	76	62	$326.99	$218.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	46	$153.09	$107.01
11101 Biopsy of each additional growth of skin and/or tissue	53	41	$58.69	$32.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$184.66	$107.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	32	19	$4.47	$1.80
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	28	26	$132.25	$111.09
36415 Insertion of needle into vein for collection of blood sample	27	15	$12.59	$2.94
11900 Injection into skin growth, 1-7 growths	23	17	$78.85	$52.50
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	18	17	$320.96	$196.69
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$158.05	$126.87
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$457.57	$210.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	12	$441.26	$300.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,214	351	$17.05	$5.31
99213 Established patient office or other outpatient visit, typically 15 minutes	806	667	$96.66	$69.71
17000 Destruction of skin growth	605	463	$97.10	$48.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	598	426	$64.12	$41.41
17110 Destruction of up to 14 skin growths	347	272	$143.75	$102.03
11100 Biopsy of single growth of skin and/or tissue	321	279	$132.07	$86.41
99202 New patient office or other outpatient visit, typically 20 minutes	175	175	$108.64	$71.17
17004 Destruction of precancer skin growth, 15 or more growths	170	104	$330.51	$142.23
11101 Biopsy of each additional growth of skin and/or tissue	56	43	$56.65	$31.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	30	$146.05	$102.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$178.70	$103.32
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	45	36	$307.53	$203.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	31	25	$4.00	$1.82
11900 Injection into skin growth, 1-7 growths	29	24	$75.54	$47.84
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	23	23	$126.43	$109.96
36415 Insertion of needle into vein for collection of blood sample	17	12	$12.00	$2.94

Medical Specialties & State Licenses

CMS Verified: 2023-08-08

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License VA 0101249254

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

University Of Virginia Physicians Group

1221 Lee St, Charlottesville, VA 229080001

Phone: 4349242500

Secondary Practice Locations

215 Wayles Ln Ste 150

Charlottesville, VA 229114631

Phone: 4349649500

1215 Lee St

Charlottesville, VA 229084631

Phone: 4349240211

Practice Associates & Co-Workers

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

26 Associated Practitioners

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Dr. Abigail Wills , MD

Dermatology

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Doctor of Medicine (M.D.)

Dr. Merrick Kozak , MD

Dermatology

NPI 1003342775

Doctor of Medicine (M.D.)

Dr. Arturo Saavedra , MD PHD

Dermatology

NPI 1003806183

MDPHD

Dr. Thomas Cropley , MD

Dermatology

NPI 1003899626

Doctor of Medicine (M.D.)

Dr. Mary-Margaret Noland , MD

Dermatology

NPI 1063615664

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location May 02, 2022

Registered at 1221 LEE ST, CHARLOTTESVILLE, VA 229084631 (Tel: 4349245115)

📍

Updated Business Mailing Address May 02, 2022

Registered at PO BOX 9007, CHARLOTTESVILLE, VA 229069007

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2022

Dermatology (License #0101249254 in VA)

✅

NPI Profile Active May 30, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 30, 2012

Registered at 215 WAYLES LN STE 150, CHARLOTTESVILLE, VA 229114631 (Tel: 4349649500)

📍

Updated Business Mailing Address May 30, 2012

Registered at 215 WAYLES LN STE 150, CHARLOTTESVILLE, VA 229114631 (Tel: 4349649500)

👤

Provider Name / Credentials Updated May 30, 2012

Recorded as BRIDGET BRYER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2012

Dermatology (License #0101249254 in VA)

🟢

Initial NPI Registration & Enumeration June 07, 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: 1265635114

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 07, 2007

Last Update: August 08, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9007

Charlottesville, VA 229069007

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.