BRYAN DALE CARTER


Address: 130 W Ravine Rd, Kingsport, TN 37660-3837
Phone: 4237829266

BRYAN DALE CARTER (NPI# 1295273480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295273480
Entity Type Individual
Full Name BRYAN DALE CARTER
Credential PA
Practice Address 130 W Ravine Rd
Kingsport
TN 37660-3837
Mailing Address 415 Broad St
Suite 410
Kingsport
TN 37660-4263
Practice Telephone 4237829266
Mailing Telephone 4232399737
Mailing Fax Number 4233985500
Enumeration Date 2017-02-07
Last Update Date 2020-10-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA0000003218 TN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1990 Holton Ave E, Big Stone Gap, VA 242193350 2765233111

Other Providers BRYAN CARTER

NPI Name Taxonomy Address Enumeration
1689045197 Bryan Carter Physician Assistant 1455 E 3rd Street, San Bernardino, CA 92410 2015-10-09
1992899611 Bryan D Carter Psychologist 200 East Chestnut Street, Louisville, KY 40202 2006-10-03
1578563599 Bryan Patrick Carter Physician Assistant 1149 Main St, The Villages, FL 32159-7721 2005-08-01
1932105418 Bryan Gregory Carter Chiropractor 7315 S Hulen St, Fort Worth, TX 76133-6616 2005-06-21
1598394611 Bryan Patrick Carter Physician Assistant 958 Isabel Dr, Lebanon, PA 17042-7482 2020-04-02
1407241482 Bryan Carter Anesthesiology 22 Bramhall St, Portland, ME 04102-3134 2015-04-06

Office Location

Street Address 130 W RAVINE RD
City KINGSPORT
State TN
Zip Code 37660-3837

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275536997 Medical Mall Pharmacy Inc Pharmacy 130 W Ravine Rd, Kingsport, TN 37660-3837 2005-05-27
1598364903 Kevin White Physician Assistant 130 W Ravine Rd, Kingsport, TN 37660-3837 2020-10-19
1093328460 Corbin Noah Turbyfill Registered Nurse 130 W Ravine Rd, Kingsport, TN 37660-3837 2020-08-26
1871106153 Garon Rick Compton Registered Nurse 130 W Ravine Rd, Kingsport, TN 37660-3837 2020-08-26
1780297010 Caleb Rumley Registered Nurse 130 W Ravine Rd, Kingsport, TN 37660-3837 2020-08-26
1992314587 Ryan Earl Farmer Emergency Medicine 130 W Ravine Rd, Kingsport, TN 37660-3837 2020-07-29
1043837933 Verna Theola Barton Pharmacist 130 W Ravine Rd, Kingsport, TN 37660-3837 2020-06-26
1962028043 Kendra Lauren O'quinn Nurse Practitioner 130 W Ravine Rd, Kingsport, TN 37660-3837 2020-06-24
1427673672 Brooke Stayer Pharmacist 130 W Ravine Rd, Kingsport, TN 37660-3837 2020-06-13
1982228847 Jordan Bacon Physician Assistant 130 W Ravine Rd, Kingsport, TN 37660-3837 2020-06-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750909891 Nancy Gober Pharmacist Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 2020-07-06
1700437621 Tammy Denise Leblanc Technician 125 Lancer Rd, Kingsport, TN 37660 2019-09-23
1831743392 Independent Physical Therapy Occupational Therapist 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 2019-08-01
1871095315 Macie Anderson Nurse Practitioner 411 Clay St, Kingsport, TN 37660 2018-03-01
1053813527 Pulitzer Orthodontics, LLC Dentist 1200 Pulitzer Place, Kingsport, TN 37660 2018-03-01
1174038749 Sbh-kingsport Psychiatric Hospital 1025 Executive Park Blvd, Kingsport, TN 37660 2017-12-05
1548771447 Sara B Ball Registered Nurse 111 W Stone Dr Ste 240, Kingsport, TN 37660 2017-10-18
1821525361 Ashley Brook Weems Nurse Practitioner Six Sheridan Square Suite 100, Kingsport, TN 37660 2017-05-15
1639625643 Stephanie H Garris Nurse Practitioner 117 W Sevier Ave Ste 120, Kingsport, TN 37660 2016-08-30
1073965679 Teresa Anne Starke Physician Assistant 8 Sheridan Square, Suite 110, Kingsport, TN 37660 2016-07-07
Find all providers in zip 37660

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073965679 Teresa Anne Starke Physician Assistant 8 Sheridan Square, Suite 110, Kingsport, TN 37660 2016-07-07
1386041101 Dustin L Barrett Physician Assistant 2050 Meadowwview Pkwy., Kingsport, TN 37660-7475 2014-11-21
1265603914 Stephen Timothy Lawson Physician Assistant 121 E Ravine Rd Ste 200, Kingsport, TN 37660-3826 2008-03-20
1477751238 Clay Deneeen Davis Physician Assistant 4509 W Stone Dr, Kingsport, TN 37660-1048 2007-07-03
1932310828 Cumberland Back Pain Clinic Physician Assistant 1732 N Eastman Rd, Kingsport, TN 37664-2376 2007-05-24
1568567535 William Kendall Johnson Physician Assistant 3 Sheridan Square, Kingsport, TN 37660 2006-09-14
1306941372 Clark Rafael Hernandez Physician Assistant Three Sheridan Square, Kingsport, TN 37660 2006-09-14
1598364903 Kevin White Physician Assistant 130 W Ravine Rd, Kingsport, TN 37660-3837 2020-10-19
1770195273 Daulton Horne Physician Assistant 105 W Stone Dr Ste 4b, Kingsport, TN 37660-3365 2020-08-18
1245855501 Carley Neil Carter Physician Assistant 105 W Stone Dr Ste 4b, Kingsport, TN 37660-3365 2020-06-12
Find all providers in KINGSPORT

Competitor

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City KINGSPORT
Zip Code 37660

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Dataset Information

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.

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