Cassandra M Bryant, MD
Individual provider Active NPI Pediatrics Physician · Brenham, TX
NPI 1174526263 · NPPES record last updated Dec 14, 2021
Key facts
- NPI
- 1174526263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- K6753 (TX)
- Practice address
- 600 N Park St
Brenham, TX 77833 - Phone
- (979) 836-6153
- NPI assigned
- May 23, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040612000770 | TX | Practitioner - Pediatric Medicine | 5395654271 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Pediatrics | Current |
Accepting new patients |
| Scott & White Clinic | Pediatrics | Current | Accepting new patients |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
235 W Palm St
Ste 106
Bellville, TX 77418
Phone (979) 272-4156
600 N Park St
Brenham, TX 77833
Phone (409) 836-6153
700 Medical Pkwy
Brenham, TX 77833
Phone (979) 337-5000
1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550
1700 University Dr E
College Station, TX 77840
Phone (979) 691-3300
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K6753 | TX | Yes |
Addresses
Primary practice location
600 N Park St
Brenham, TX 77833
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371
Other practice location 1
235 W Palm St
Ste 106
Bellville, TX 77418-1372
Phone (979) 836-6153
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10030167 | Other | TX | AMERIGROUP |
| 042819502 | Medicaid | TX | |
| 101819 | Other | TX | SUPERIOR CHIPS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbryant13059@direct.sw.org | Direct |
Other providers in Brenham, TX
- Roxie Broussard
- Jena Lee Brown
- Julie Brown
- Renee M Brown
- Yolanda Rochelle Browning
- Beth G Burgmeyer
- Minnie Lou Burrell
- Michelle J Butcher
- C Michael Altman DDS PC
- Camp Blessing Texas
All providers in Brenham, TX · Pediatrics Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.