Timothy Gordon Bryant, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G53185 Issued in CA

Practice address

1700 N Rose Ave
Ste 430
Oxnard, CA 93030-7657

Phone

(805) 485-8722

Fax

(805) 485-9311

NPI assigned

May 23, 2005

Last updated

Mar 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothybryant@gsmgvc.allscriptsdirect.net

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.

• General Surgery Medical Group of Ventura County

  • Surgery Physician
  • Oxnard, CA
  • NPI 1275511644
  NPD Authorized official
• Dignity Health

  dba St. John's Regional Medical Center

  • General Acute Care Hospital
  • Oxnard, CA
  • NPI 1073665360
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1164425245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE",
            "address_2": "STE 430",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307657",
            "telephone_number": "805-485-8722",
            "fax_number": "805-485-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE",
            "address_2": "STE 430",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307657",
            "telephone_number": "805-485-8722",
            "fax_number": "805-485-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "TIMOTHY",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G53185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G531850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James A Brunner
• Jerry R Bruns, M.D.
• Kaliyan Bryant, NP
• Kamar Bryant
• Sienna Rose Bryant, BSN, RN, PHN
• John Wordy Buckner IV, M.D.
• Marie Alejandrino Buell, D.M.D.
• Buena Dental Group
• Buena Medical Group (Buena Medical Clinic)
• Buena Vida Medical Center, Inc

• Surgery Physician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.