Individual provider Active NPI

Morgan Cecily Bryan, NP-C

  • Nurse Practitioner
  • Southlake, TX
National Provider Identifier
1073232955
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1048502 Issued in TX
Practice address
1705 Egret LN
Southlake, TX 76092-5801
Phone
(214) 679-0633
NPI assigned
Aug 24, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1048502 TX Primary

Addresses

Primary practice location

1705 Egret LN
Southlake, TX 76092-5801

Mailing address

1705 Egret LN
Southlake, TX 76092-5801
Phone (214) 679-0633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914002847 TX Practitioner - Nurse Practitioner 3375928161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

7560 Glenview Dr
Suite 110
Richland Hills, TX 76180-8374
Phone (817) 824-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Apr 14, 2024 Accepting new patients
Inpatient Physician Associates PLLC CurrentSince Oct 1, 2022 Accepting new patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Apr 14, 2024 Accepting new patients

Locations

200 N Mesquite St
Ste 115
Arlington, TX 76011
Phone (817) 200-2530

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

4710 Bellaire Blvd
Ste 340
Bellaire, TX 77401
Phone (713) 860-1755

113 E State Highway 121
Ste 100
Coppell, TX 75019

113 E State Highway 121
Ste 110
Coppell, TX 75019
Phone (469) 946-6577

11317 N Central Expy
Ste 100
Dallas, TX 75243
Phone (972) 408-2777

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

1650 W Rosedale St
Ste 220
Fort Worth, TX 76104
Phone (682) 312-4038

4709 W Parker Rd
Ste 500
Plano, TX 75093
Phone (469) 974-0565

7560 Glenview Dr
Ste 110
Richland Hills, TX 76180
Phone (817) 284-2700

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1073232955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 EGRET LN",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925801",
            "telephone_number": "214-679-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 EGRET LN",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925801",
            "telephone_number": "214-679-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "MORGAN",
        "middle_name": "CECILY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1048502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.