Active NPI
Julie Bryan, M.D.
- Internal Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01053541A
- Practice address
- 6507 E State Blvd
Fort Wayne, IN 46815-7026 - Phone
- (260) 486-3300
- Fax
- (260) 486-3600
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01053541A | IN | Primary |
Addresses
Primary practice location
6507 E State Blvd
Fort Wayne, IN 46815-7026
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00204040 | Other | IN | MEDICARE RR |
| 3937240010 | Other | IN | MEDICARE DMEPOS |
| 000000358544 | Other | IN | ANTHEM |
| 200330130 | Medicaid | IN | |
| 12156 | Other | IN | PHYSICIANS HEALTH PLAN |
| 7318238 | Other | AETNA |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbryan4463@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050330000586 | IN | Practitioner - Internal Medicine | 9436105657 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical Branch at Galveston, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Parkview Health System Inc
Practice addresses (Care Compare)
1818 Carew St
Suite 260
Fort Wayne, IN 46805-4792
Phone (260) 373-9250
Hospital & facility affiliations
- Adoration Home Health
- Parkview Health at Home LLC
- Elara Caring
- Parkview Regional Medical Center
- Parkview Dekalb Hospital
- Parkview Huntington Hospital
- Parkview Whitley Hospital
- Dupont Hospital LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01053541A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Internal Medicine | Current | Accepting new patients |
| Parkview Health System, Inc. | Internal Medicine | Past | Accepting new patients |
| Indiana Medical Associates, LLC | Internal Medicine | Past | Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
3926 New Vision Dr
Bldg H
Fort Wayne, IN 46845
1818 Carew St
Ste 110
Fort Wayne, IN 46805
Phone (260) 969-7100
7910 W Jefferson Blvd
Ste 120
Fort Wayne, IN 46804
Phone (260) 435-7612
1818 Carew St
Ste 260
Fort Wayne, IN 46805
Phone (219) 483-6448
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
1900 Carew St
Ste 3
Fort Wayne, IN 46805
Phone (219) 480-7119
6507 E State Blvd
Fort Wayne, IN 46815
Phone (260) 486-3300
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
Interoperability endpoints
- jbryan4463@direct.parkviewexchange.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
IN, Internal Medicine
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1447585153
-
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1780628545
Internal Medicine
-
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1952411233
Internal Medicine
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fort Wayne, IN
- NPI 1013956440
-
- Home Health Agency
- Marion, IN
- NPI 1497959142
-
- Home Health Agency
- Fort Wayne, IN
- NPI 1437103199
-
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
Hospital
-
- Home Health Agency
- Fort Wayne, IN
- NPI 1861252918
-
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1063496644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6507 E STATE BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468157026",
"telephone_number": "260-486-3300",
"fax_number": "260-486-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "JULIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01053541A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00204040",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMEPOS",
"identifier": "3937240010",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000358544",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200330130",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN",
"identifier": "12156",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7318238",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbryan4463@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "6507 E State Blvd",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468157026",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "6507 E State Blvd",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468157026",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "6507 E State Blvd",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468157026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.