Glen E Bryant Jr.


Address: 303 W Polk St, West Memphis, AR 72301

Glen E Bryant Jr. (NPI# 1699700864, PAC ID# 7719966050) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

Nation Provider ID (NPI) 1699700864
PAC ID by PECOS 7719966050
Professional Enrollment ID I20110407000607
Full Name Glen E Bryant Jr.
Address 303 W Polk St
West Memphis
AR 72301
Gender M
Medical School UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year 1980
Primary Specialty OPHTHALMOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
040019 FORREST CITY MEDICAL CENTER

Other Locations

Address Phone Organization
303 W Polk St, West Memphis, AR 72301

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_014_overall Age-Related Macular Degeneration (AMD): Dilated Macular Examination 100%

Organization Information

Office Location

Street Address 303 W POLK ST
City WEST MEMPHIS
State AR
Zip 72301

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Mary E Tolleson Physical Therapy Holt Therapy and Wellness, Pllc 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700
Candace M Wright Physical Therapy Holt Therapy and Wellness, Pllc 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700
Kevin Holt Physical Therapy Holt Therapy and Wellness, Pllc 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700
Kelly M Key Physical Therapy Holt Therapy and Wellness, Pllc 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700
Beverly Anne Vaughn Occupational Therapy Holt Therapy and Wellness, Pllc 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700
Sharon B Goode Speech Language Pathologist Holt Therapy and Wellness, Pllc 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700
Oscar Ramos Optometry 798 W Service Rd, West Memphis, AR 72301-1727
Lydia Margarita Makapugay Pathology Poplar Healthcare Pllc 260 Shoppingway Blvd, Suite 7, West Memphis, AR 72301-1736
Devonda Yvonne Reimonenq Clinical Social Worker 310 Mid Continent Plz, Suite 400, West Memphis, AR 72301-1760
Vicky D Valentine-phillips Clinical Social Worker Northeast Arkansas Community Mental Health Center Inc 905 N 7th St, West Memphis, AR 72301-2001
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Competitor

Search similar physicians

City WEST MEMPHIS
Zip Code 72301
Specialty OPHTHALMOLOGY
City + Specialty WEST MEMPHIS + OPHTHALMOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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