GARY B. BRYANT MD PC NPI 1285646950

NPI Information

NPI: 1285646950
Provider Name: GARY B. BRYANT, MD, PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
119 E FORT ST
MANCHESTER, TN
ZIP 37355
Phone: (931) 728-4477
Get Directions

GARY B. BRYANT, MD, PC is a primary care clinic center in Manchester, TN. GARY B. BRYANT, MD, PC NPI is 1285646950. The provider is registered as an organization entity type.

The provider's business location address is:

119 E FORT ST
MANCHESTER, TN
ZIP 37355-508
Phone: (931) 728-4477
Fax: (931) 728-4997

The provider's authorized official is Gary B Bryant .
The authorized official title is President and has the following contact phone number (931) 728-4477.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 4/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	MD009298	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	89001688	OTHER	TENNESSEE	BCBS OF AL
2	01037992	OTHER	TENNESSEE	AMERIGROUP
3	00001849	OTHER	TENNESSEE	NHC HEALTH BENEFIT PLAN
4	F02955	MEDICARE UPIN	TENNESSEE
5	3158264	MEDICAID	TENNESSEE
6	01-40498	OTHER	TENNESSEE	UNITED HEALTH CARE
7	3034820	OTHER	TENNESSEE	BCBS OF TN
8	3158264	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
9	080145045	OTHER	TENNESSEE	RAILROAD MEDICARE
10	3158265	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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