Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Bryan Andrew Stam, O.D.
Optometrist in Jacksonville, FL · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1245239581
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Registry record
Entity type Individual (Type 1)
Name Bryan Andrew Stam
Credential O.D.
Sex Male
Practice address 10915 Baymeadows Rd Ste 110, Jacksonville, FL, 32256
Phone (904) 647-9655
Fax (904) 647-9611
Enumeration date Jul 19, 2005
Last updated in NPPES Jul 14, 2026
Taxonomy & licenses
152WV0400X Vision Therapy Optometrist Eye and Vision Services Providers · License OPC 3453 (FL) Secondary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620556900 | Medicaid | FL | - |
| 620603400 | Medicaid | FL | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Bryan Stam?
Bryan Stam is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-14.