Bryant R Martin, M.D.

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

MD-12548 Issued in HI

Practice address

88TH MDG/SGHJ
4881 Sugar Maple Dr.
Wright-Patterson Afb, OH 45433

Phone

(937) 938-3489

NPI assigned

Sep 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Preventive MedicineAlso: Family Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Carmel Urgent CareGroup PAC ID 4688087497, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bmartin2797095@direct.trinity-health.org

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.

• Mount Carmel Urgent Care

  • Urgent Care Clinic/Center
  • Columbus, OH
  • NPI 1528662491
  Medicare reassignment Care Compare group NPD
• Mount Carmel Urgent Care

  • Durable Medical Equipment & Medical Supplies
  • Grove City, OH
  • NPI 1447138649
  NPD

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1164416871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 ELM STREET",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "23665",
            "telephone_number": "757-225-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88TH MDG/SGHJ",
            "address_2": "4881 SUGAR MAPLE DR.",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-938-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRYANT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD12548",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "HI",
            "license": "MD-12548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob John Mansfield, MD
• Tracy Lynn Markle, LICSW
• Lindsey Marquez, CRNA
• Jon K. Marti, D.O.
• Angel Lynn Martin, MSW, LCSW
• Matthew Salah Masry, M.D.
• Jason Carlisle Massengill, M.D.
• George Korah Mattamana, CRNA
• Shannel Matthews, NP
• Catherine Mauser, CNM

• Aerospace Medicine Physician in Wright-Patterson Afb, OH
• Providers in Wright-Patterson Afb, OH by specialty
• Aerospace Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.

Verify at the official NPI Registry.