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

Richard G Bryan, MD

Individual provider Retina Specialist (Ophthalmology) Physician · NPI 1366428120

Richard G Bryan, MD is an Ophthalmology in Providence, Rhode Island. Graduated from Baylor College of Medicine in 1995, 31 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
31
Trained at
Baylor College of Medicine
Licensed in
MA, RI
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

120 Dudley St Ste 303
Providence, RI 02905-2436
Phone: (401) 369-7773
Fax: (401) 369-7336
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD11942 (RI)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence MD11942 (RI)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence 225844 (MA)
Ophthalmology Physician Taxonomy 207W00000X · Licence 225844 (MA)

Record details

NPI number1366428120
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 22, 2005
Last updated in NPPESApril 6, 2017
Mailing address120 Dudley St, Suite 303, Providence, RI 02905-2436

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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