Provider Demographics
NPI:1265222152
Name:MCFERRIN, BRYLAN
Entity type:Individual
Prefix:
First Name:BRYLAN
Middle Name:
Last Name:MCFERRIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6440 W NEWBERRY RD STE 102
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4368
Mailing Address - Country:US
Mailing Address - Phone:352-642-0538
Mailing Address - Fax:352-333-5611
Practice Address - Street 1:6440 W NEWBERRY RD STE 102
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4368
Practice Address - Country:US
Practice Address - Phone:352-642-0538
Practice Address - Fax:352-333-5611
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant