Individual provider Active NPI

Bryan Bjornstad, MD

  • Neurology Physician
  • Zanesville, OH
National Provider Identifier
1114025830
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35090768 Issued in OH
Practice address
751 Forest Ave
Suite 202
Zanesville, OH 43701
Phone
(740) 588-9120
Fax
(740) 588-9140
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 36376 TN
Neurology Physician 2084N0400X 35090768 OH Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 35090768 OH

Addresses

Primary practice location

751 Forest Ave
Suite 202
Zanesville, OH 43701

Mailing address

945 Bethesda Dr
Suite 200
Zanesville, OH 43701-0801
Phone (740) 454-4788

Other identifiers 4

IdentifierTypeStateIssuer
0702090003OtherTNPALMETTO GBA DME
2803505MedicaidOH
130025744OtherTNRAILROAD MEDICARE
3874219MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000231 OH Practitioner - NeurologyPractitioner - Neuropsychiatry 8729160031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Neuropsychiatry
Education
University of Cincinnati College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

955 Bethesda Dr
Zanesville, OH 43701-1873
Phone (740) 450-6147

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36376TNMDNeurology Physician
35090768OHMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group, LLC CurrentSince Jan 20, 2010 Accepting new patients
Genesis Medical Group LLC CurrentSince Jan 20, 2010 Accepting new patients

Locations

955 Bethesda Dr
Ste B
Zanesville, OH 43701

840 Bethesda Dr
Ste 3
Zanesville, OH 43701

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

955 Bethesda Dr
Ste D
Zanesville, OH 43701
Phone (740) 454-5000

955 Bethesda Dr
Zanesville, OH 43701
Phone (740) 454-0804

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

751 Forest Ave
Ste 202
Zanesville, OH 43701
Phone (740) 450-1687

Organizations & group practices 2

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 7

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1114025830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 BETHESDA DR",
            "address_2": "SUITE 200",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010801",
            "telephone_number": "740-454-4788",
            "fax_number": "740-450-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 FOREST AVE",
            "address_2": "SUITE 202",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "43701",
            "telephone_number": "740-588-9120",
            "fax_number": "740-588-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORNSTAD",
        "first_name": "BRYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "36376",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35090768",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "OH",
            "license": "35090768",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA DME",
            "identifier": "0702090003",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2803505",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130025744",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3874219",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.