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Dr Bryan Vyverberg, MD, PLLC

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Company Details

Name: Dr Bryan Vyverberg, MD, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 20 Apr 2016 (9 years ago)
Business ID: 1091057
ZIP code: 39503
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 8845 Lorraine RoadGulfport, MS 39503

Agent

Name Role Address
Bryan Vyverberg MD Agent 8845 Lorraine Road, Gulfport, MS 39503

Manager

Name Role Address
Bryan Vyverberg MD Manager 8845 Lorraine Road, Gulfport, MS 39503

National Provider Identifier

NPI Number:
1639523277

Authorized Person:

Name:
DR. BRYAN VYVERBERG
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
2282841608

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-10 Annual Report For Dr Bryan Vyverberg, MD, PLLC
Annual Report LLC Filed 2024-02-29 Annual Report For Dr Bryan Vyverberg, MD, PLLC
Reinstatement Filed 2023-12-04 Reinstatement For Dr Bryan Vyverberg, MD, PLLC
Amendment Form Filed 2023-12-04 Amendment For Dr Bryan Vyverberg, MD, PLLC
Admin Dissolution Filed 2022-11-28 Action of Intent to Dissolve: AR: Dr Bryan Vyverberg, MD, PLLC
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: Dr Bryan Vyverberg, MD, PLLC
Reinstatement Filed 2021-04-09 Reinstatement For Dr Bryan Vyverberg, MD, PLLC
Admin Dissolution Filed 2020-11-27 Action of Dr Bryan Vyverberg, MD, PLLC: AR
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Amendment Form Filed 2020-07-03 Amendment For Dr Bryan Vyverberg, MD, PLLC

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Date of last update: 04 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website