GARY B. BRYANT, MD, PC (NPI# 1285646950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285646950 |
| Entity Type | Organization |
| Organization Name | GARY B. BRYANT, MD, PC |
| Practice Address |
119 E Fort St Manchester TN 37355-1508 |
| Mailing Address |
Po Box 240 Manchester TN 37349-0240 |
| Practice Telephone | 9317284477 |
| Practice Fax Number | 9317284997 |
| Mailing Telephone | 9317284477 |
| Mailing Fax Number | 9317284997 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2009-04-14 |
| Authorized Official Name | GARY B BRYANT (PRESIDENT) |
| Authorized Official Telephone | 9317284477 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD009298 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | UNITED HEALTH CARE | 01-40498 | 01 |
| TN | 3158265 | 05 | |
| TN | NHC HEALTH BENEFIT PLAN | 00001849 | 01 |
| TN | BCBS OF AL | 89001688 | 01 |
| TN | AMERIGROUP | 01037992 | 01 |
| TN | RAILROAD MEDICARE | 080145045 | 01 |
| TN | BCBS OF TN | 3034820 | 01 |
| TN | 3158264 | 05 |
| Street Address |
119 E FORT ST |
| City | MANCHESTER |
| State | TN |
| Zip Code | 37355-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649261678 | Gary Barton Bryant | Family Medicine | 119 E Fort St, Manchester, TN 37355-1508 | 2005-10-31 |
| 1568742963 | Manchester Family Practice | Family Medicine | 119 E Fort St, Manchester, TN 37355-1508 | 2011-08-17 |
| 1891995494 | The Doctors Group | Family Medicine | 119 E Fort St, Manchester, TN 37355-1508 | 2007-07-20 |
| 1083763817 | Lisa W Gressel | Physician Assistant | 119 E Fort St, Manchester, TN 37355-1508 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659857126 | Ashley Harmon Layne | Speech-Language Pathologist | 205 S Woodland St, Manchester, TN 37355 | 2018-07-17 |
| 1760996771 | Quad/med, LLC | Clinic/Center | 227 Monogard Rd, Manchester, TN 37355 | 2017-11-29 |
| 1881108157 | Sarabeth Seagreaves | Specialist/Technologist | 1700 Summer St Apt A36, Manchester, TN 37355 | 2017-11-25 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1316361561 | Charlotte Gibbs | Counselor | 482 Interstate Dr Ste D, Manchester, TN 37355 | 2014-02-08 |
| 1205258191 | Aleene Marie Falk | Social Worker | 218 Forrestwood Drive, Manchester, TN 37355 | 2014-01-10 |
| 1790067429 | Reda Lynn Lawson | Registered Nurse | 800 Parks Street, Manchester, TN 37355 | 2011-09-20 |
| 1912294117 | Patricia Beth Elliott | Nurse Practitioner | 804 Keylon Street, Manchester, TN 37355 | 2011-07-08 |
| 1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
| 1982761441 | Richard Eugene Fishbein | Orthopaedic Surgery | 102 East High Street, Manchester, TN 37355 | 2007-01-03 |
| Find all providers in zip 37355 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922586809 | Emmaus Health LLC | Clinic/Center | 945 Main St Ste 205, Manchester, CT 06040-6064 | 2018-08-01 |
| 1700213790 | Grace Community Health Center Inc | Clinic/Center | 1983 S Highway 421, Manchester, KY 40962-7514 | 2013-10-04 |
| 1295930089 | Family Healthcare, LLC | Clinic/Center | 1321 Mcarthur St Ste A, Manchester, TN 37355-2425 | 2007-06-20 |
| 1174002281 | Christian Family Healthcare, Inc. | Clinic/Center | 90 Garrard Sq, Manchester, KY 40962-5759 | 2018-08-09 |
| 1972054914 | Community Action Committee of Pike County | Clinic/Center | 130 Wayne Frye Dr, Manchester, OH 45144-9314 | 2016-10-14 |
| 1174950075 | Grace Community Health Center Inc | Clinic/Center | 364 Highway 1524, Manchester, KY 40962-8936 | 2013-10-09 |
| 1235566274 | Grace Community Health Center Inc | Clinic/Center | 239 Richmond Rd, Manchester, KY 40962-1208 | 2013-10-05 |
| 1073940060 | Grace Community Health Center Inc | Clinic/Center | 84 Hooker Rd, Manchester, KY 40962-8202 | 2013-10-04 |
| 1811236664 | Amoskeag Primary Care | Clinic/Center | 1650 Elm St, Suite 302, Manchester, NH 03101-1217 | 2013-02-13 |
| 1275879355 | Priapex Health & Fitness P.l.l.c. | Clinic/Center | 604 Pine St, Manchester, NH 03104-3559 | 2012-12-18 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 37355 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.