BONNIE L BRYANT, PhD — NPI 1760429088 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral in FORT WASHINGTON, MD)

CMS-1500 Box 24J / 33a • NPI

1760429088

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TB0200X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral

Box 32 Service Location & ZIP+4

10312 OLD FORT RD, FORT WASHINGTON, MD, 20744-4123

✓ 9-Digit EDI 837 ZIP+4 (20744-4123)

Practice Phone & Referral Fax

(301) 292-3994

Fax: (304) 725-3461

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1760429088 (BONNIE L BRYANT, PhD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1760429088` (NPI-1 Individual Practitioner)
Provider / Legal Name	BONNIE L BRYANT, PhD
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral NUCC Code: `103TB0200X` (Psychologist, Cognitive & Behavioral)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	10312 OLD FORT RD, FORT WASHINGTON, MD, 20744-4123
Practice Telephone / Fax	Tel: (301) 292-3994 \| Fax: (304) 725-3461
Administrative Mailing Address	304 W 4TH AVE, RANSON, WV, 25438-1024
Enumeration & Last Sync	Enumerated: 2006-06-02 \| CMS Record Updated: 2014-12-05

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

10312 OLD FORT RD, FORT WASHINGTON, MD, 20744-4123

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Plain-English Taxonomy & CMS Crosswalk (103TB0200X)

What Does Taxonomy Code 103TB0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TB0200X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Cognitive & Behavioral for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BONNIE L BRYANT, PhD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: VA \| License: `0810002219` \| Primary: Secondary
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: MD \| License: `02802` \| Primary: Secondary
`106H00000X` — Marriage & Family Therapist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist	State: VA \| License: `0717000668` \| Primary: Secondary
`103TB0200X` — Psychologist, Cognitive & Behavioral Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral	State: MD \| License: `02802` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BONNIE L BRYANT, PhD (NPI #1760429088)