Mark Anthony Bryant, PA-C
Individual provider Active NPI Physician Assistant · Whitley City, KY
NPI 1174646087 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174646087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA958 (KY)
- Practice address
- 19 Medical Loop
Suite 3
Whitley City, KY 42653 - Phone
- (606) 376-5391
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester, Patton & Burgess, PSC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA958 | KY | Yes |
Addresses
Primary practice location
19 Medical Loop
Suite 3
Whitley City, KY 42653
Mailing address
PO Box 99
Whitley City, KY 42653-0099
Phone (606) 376-5391
Other providers in Whitley City, KY
- Jacqueline Tanie Baker
- Justin Barnett
- Bluegrass Oxygen Inc
- Bowynn Inc
- Kimberly Margarett Brumley
- Buckeye Home Health Center, Inc.
- Burgess Drug Store Inc
- Burgess Drug Store Inc
- Jerald Miller Burgess
- Butterfly Behavior Therapy Group LLC
All providers in Whitley City, KY · Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.