Individual provider Active NPI

William Forrest Bryant, D.M.D.

  • General Practice Dentistry
  • Decatur, AL
National Provider Identifier
1093755084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4828 Issued in AL
Practice address
1318 Stratford Rd SE
Decatur, AL 35601-6026
Phone
(256) 350-2047
Fax
(256) 350-9577
NPI assigned
Jun 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4828 AL Primary

Addresses

Primary practice location

1318 Stratford Rd SE
Decatur, AL 35601-6026

Mailing address

1318 Stratford Rd SE
Decatur, AL 35601-6026
Phone (256) 350-2047

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150821012847 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6709191687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4828ALMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
W. Forrest Bryant, DMD PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093755084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 STRATFORD RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016026",
            "telephone_number": "256-350-2047",
            "fax_number": "256-350-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 STRATFORD RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016026",
            "telephone_number": "256-350-2047",
            "fax_number": "256-350-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "WILLIAM",
        "middle_name": "FORREST",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.