Individual provider Active NPI

Bryan Douglas Riggeal, M.D.

  • Neuro-ophthalmology Physician
  • Jacksonville, FL
National Provider Identifier
1104023308
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
License
ME128272 Issued in FL
Practice address
841 Prudential Dr FL 10
Jacksonville, FL 32207-8329
Phone
(904) 398-5404
Fax
(904) 391-5545
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME128272 FL
Ophthalmology Physician 207W00000X 66311 GA
Neurology Physician 2084N0400X 66311 GA
Neurology Physician 2084N0400X ME128272 FL
Neuro-ophthalmology Physician 207WX0109X ME128272 FL Primary

Addresses

Primary practice location

841 Prudential Dr FL 10
Jacksonville, FL 32207-8329

Mailing address

PO Box 746649
Atlanta, GA 30374-6649
Phone (904) 376-4400

Other identifiers 1

IdentifierTypeStateIssuer
018248700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110714000838 GA Practitioner - OphthalmologyPractitioner - Neurology 9638347719 Reassigns benefits to 2 organizations
I20160906001809 FL Practitioner - NeurologyPractitioner - Ophthalmology 9638347719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Ophthalmology
Education
University of Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Neurology IncGroup PAC ID 0345366704, 47 clinicians

Practice addresses (Care Compare)

841 Prudential Dr
Jacksonville, FL 32207-8329
Phone (904) 398-5404

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Mayo Clinic Hospital, Jacksonville, FL, CCN 100151

Merit-based Incentive Payment System (MIPS)

Final score
88.46 of 100Reported as group
Quality
75.65
Promoting interoperability
100
Improvement activities
40
Cost
80.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME128272FLMDNeurology Physician
66311GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc CurrentSince Jul 1, 2011 Accepting new patients
Baptist Neurology Inc Neurology CurrentSince Sep 19, 2016 Accepting new patients
Emory Medical Care Foundation Inc Neurology CurrentSince Jul 1, 2011 Accepting new patients
Baptist Neurology Inc Neurology CurrentSince Sep 19, 2016 Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients
The Emory Clinic Inc CurrentSince Jul 1, 2011 Accepting new patients
Piedmont Providers LLC PastSince Dec 10, 2018 Accepting new patients
Baptist Primary Care Inc Past Accepting new patients

Locations

841 Prudential Dr
Fl 10
Jacksonville, FL 32207
Phone (904) 398-5404

841 Prudential Dr
Ste 10
Jacksonville, FL 32207

1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

Interoperability endpoints

  • Direct secure messaging: briggeal17353@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1104023308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746649",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746649",
            "telephone_number": "904-376-4400",
            "fax_number": "904-391-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR FL 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078329",
            "telephone_number": "904-398-5404",
            "fax_number": "904-391-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGEAL",
        "first_name": "BRYAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME128272",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "66311",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "66311",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME128272",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "FL",
            "license": "ME128272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018248700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.