Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mirjam Bryan

Individual provider Physician Assistant · NPI 1568864189

Mirjam Bryan is a Physician Assistant in Richmond, Virginia. Graduated from Eastern Virginia Medical School in 2014, 12 years ago. Practices with Henrico Area Mental Heatlh and Developmental Services, a 31-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
12
Trained at
Eastern Virginia Medical School
Licensed in
VA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

4825 S Laburnum Ave
Richmond, VA 23231-2713
Phone: (804) 727-8101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110004713 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 0110004713

Record details

NPI number1568864189
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2014
Last updated in NPPESMarch 1, 2019
Mailing address4825 S Laburnum Ave, Richmond, VA 23231-2713

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2014 (12 years in practice)
Group practice Henrico Area Mental Heatlh And Developmental Services — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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