National Provider Identifier Database

BRYAN X DESOUZA, MD – NPI #1427138486
Clinical Neurophysiology

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).


Contact Information

BRYAN X DESOUZA, MD
100 E LANCASTER AVE
SUITE 312
WYNNEWOOD, PA19096-3450
Phone: 610-649-6090
Fax: 610-640-6087
Website:
Specialty Taxonomy Code
* Clinical Neurophysiology 2084N0600X
Neurology 2084N0400X

* Indicates primary specialty

NPI Profile & details for BRYAN X DESOUZA

NPI Number 1427138486
Credentials MD
Entity Individual
Enumeration date 10/16/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Yes
Identifiers
  • PA License #: MD052950L
  • PA Medicaid: 1483921
  • PA Other: 481009 AETNA
  • PA Other: 438218 AMERIHEALTH/KEYSTONE
  • PA Other: DE438218 BLUE CROSS BLUE SHIELD
  • PA Other: DE438218 BLUE SHIELD
  • PA Other: 0792085-007 CIGNA
  • PA Other: 0727230000 KEYSTONE HEALTH PLAN EAST
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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