Individual Healthcare Provider
Bryhanna Christinecharles Mccully, PAC
Provider's NPPES record last updated: June 17, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1154919561
- Primary Specialty
- Physician Assistant
- Practice Location
- Gresham, Oregon
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 12:45 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X Physician Assistant
Surgical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AS0400X
Provider-Reported License Information
- Physician Assistant (Oregon)
- PA209821
- Physician Assistant (Oregon)
- PA209821
- Physician Assistant (Illinois)
- 085008846
Practice Locations
Practice Location
2850 Se Powell Valley Rd
Gresham, Oregon 97080-1494
Phone: (503) 666-5050
Additional Practice Location
11815 233rd St
Cambria Heights, New York 11411-2227
Phone: (347) 610-5316
Additional Practice Location
1333 W Belmont Ave Ste 100
Chicago, Illinois 60657-5785
Phone: (312) 694-2273
Fax: (312) 694-1875
Additional Practice Location
636 Raymond Dr Ste 107
Naperville, Illinois 60563-9789
Phone: (630) 359-8396
Fax: (630) 933-2729
Additional Practice Location
10350 Haligus Rd Ste A
Huntley, Illinois 60142-9545
Phone: (847) 802-7500
Fax: (847) 802-7162
Additional Practice Location
885 Roosevelt Rd Ste 100
Glen Ellyn, Illinois 60137-6141
Phone: (630) 384-6200
Fax: (630) 384-6229
Additional Practice Location
870 N Milwaukee Ave
Vernon Hills, Illinois 60061-1521
Phone: (847) 475-2273
Fax: (847) 535-7761
Additional Practice Location
2900 Foxfield Rd Ste 100
St Charles, Illinois 60174-5799
Phone: (630) 377-6500
Fax: (630) 377-6577
Additional Practice Location
635 N Dearborn St Ste 100
Chicago, Illinois 60654-4618
Phone: (312) 694-2273
Fax: (312) 694-2129
Additional Practice Location
635 N Fairbanks Ct
Chicago, Illinois 60611-5435
Phone: (312) 472-3173
Fax: (312) 472-3176
Additional Practice Location
21202 Owens Rd Ste 101
Mokena, Illinois 60448-2038
Phone: (779) 334-0030
Fax: (779) 334-0031
Additional Practice Location
1630 Sherman Ave Ste 130
Evanston, Illinois 60201-3711
Phone: (312) 694-9521
Fax: (312) 694-2299
Additional Practice Location
525 Rockland Rd Ste 100
Lake Bluff, Illinois 60044-1778
Phone: (847) 535-6460
Fax: (847) 535-6465
Additional Practice Location
1111 Ne 99th Ave Ste 101
Portland, Oregon 97220-9442
Phone: (503) 488-2626
Fax: (503) 488-2630
Additional Practice Location
2701 Patriot Blvd Ste 110
Glenview, Illinois 60026-8039
Phone: (847) 475-2273
Fax: (847) 998-9833
Additional Practice Location
2507 N Richmond Rd Ste B
Mchenry, Illinois 60051-5407
Phone: (815) 206-7500
Fax: (815) 385-3255
Additional Practice Location
1704 Maple Ave Ste 100
Evanston, Illinois 60201-3134
Phone: (312) 694-2273
Fax: (312) 694-2299
Additional Practice Location
6155 Grand Ave Ste 100
Gurnee, Illinois 60031-1651
Phone: (224) 271-6700
Fax: (224) 271-6701
Additional Practice Location
7 Blanchard Cir Ste 102
Wheaton, Illinois 60189-2038
Phone: (630) 682-0500
Fax: (630) 682-1078
Additional Practice Location
24076 Se Stark St Ste 230
Gresham, Oregon 97030-3385
Phone: (503) 488-2600
Fax: (503) 465-5468
Record Information
- Enumeration Date
- January 2, 2021
- Provider's NPPES Record Last Updated
- June 17, 2026
- Certification Date
- June 17, 2026
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue