DR. JESSE THORNTON BRYANT IV (NPI# 1912922113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912922113 |
| Entity Type | Individual |
| Full Name | DR. JESSE THORNTON BRYANT IV |
| Credential | M.D. |
| Practice Address |
2409 Ring Rd Ste 114 Elizabethtown KY 42701-5935 |
| Practice Telephone | 2709823344 |
| Practice Fax Number | 2709823366 |
| Mailing Telephone | 2709823344 |
| Mailing Fax Number | 2709823366 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
31987 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64036585 | 05 |
| Street Address |
2409 RING RD STE 114 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-5935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639101025 | Michael Oliff | Radiology | 2409 Ring Rd Ste 114, Elizabethtown, KY 42701-5935 | 2006-07-07 |
| 1578588604 | Herbert Jeffrey Haynes | Radiology | 2409 Ring Rd Ste 114, Elizabethtown, KY 42701-5935 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255598116 | Khan Radiology Services Pllc | Radiology | 1804 Sparrow Ct, Elizabethtown, KY 42701-9488 | 2008-05-19 |
| 1164445417 | Jehanzeb Khan | Radiology | 1321 Ring Rd, Suite 105, Elizabethtown, KY 42701-8940 | 2006-07-26 |
| 1639101025 | Michael Oliff | Radiology | 2409 Ring Rd Ste 114, Elizabethtown, KY 42701-5935 | 2006-07-07 |
| 1760414361 | Stewart Martin Couch | Radiology | 2409 Ring Rd., Ste. 114, Elizabethtown, KY 42701 | 2006-07-06 |
| 1861417941 | Robert Kemp Myers Sr. | Radiology | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2006-07-12 |
| 1588689756 | Karen Williams | Radiology | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2006-07-12 |
| 1578588604 | Herbert Jeffrey Haynes | Radiology | 2409 Ring Rd Ste 114, Elizabethtown, KY 42701-5935 | 2006-07-12 |
| 1598798258 | Elizabethtown Radiology, P.s.c. | Radiology | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2006-07-08 |
| 1912939331 | Ronald Joseph Wurth | Radiology | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2006-07-07 |
| 1881626281 | Srikala Ramaswamy | Radiology | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2006-07-07 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.