Individual provider Active NPI

Benjamin Chandler Bryson, M.D.

  • Gastroenterology Physician
  • Somerset, KY
National Provider Identifier
1184887432
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
43526 Issued in KY
Practice address
56 Tower Cir
Somerset, KY 42503-3476
Phone
(606) 677-2193
Fax
(606) 677-6983
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43526 KY
Gastroenterology Physician 207RG0100X 43526 KY Primary

Addresses

Primary practice location

56 Tower Cir
Somerset, KY 42503-3476

Mailing address

56 Tower Cir
Somerset, KY 42503-3476
Phone (606) 677-2193

Other identifiers 4

IdentifierTypeStateIssuer
7100140800MedicaidKY
193400000XOtherKYTAXONOMY MULTIPLE SINGLE SPECIALTY GROUP
65933517MedicaidKY
0696901MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100128000273 KY Practitioner - Internal Medicine 5698817690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kentucky College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Cumberland Physician Practices LLCGroup PAC ID 2567510464, 47 clinicians

Practice addresses (Care Compare)

56 Tower Cir
Somerset, KY 42503-3476
Phone (606) 677-2913

Hospital & facility affiliations

  • Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy124
Upper gastrointestinal (GI) endoscopy for acid reflux163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43526KYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Physician Practices, LLC Current Accepting new patients
Lake Cumberland Physician Practices LLC Gastroenterology CurrentSince Jan 1, 2019 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Jan 1, 2018 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Jan 1, 2018 Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients

Locations

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644

56 Tower Cir
Somerset, KY 42503
Phone (606) 677-2193

301 Langdon St
Somerset, KY 42503
Phone (606) 678-9688

Interoperability endpoints

  • Direct secure messaging: benjamin.bryson.1@21269.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1184887432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 TOWER CIR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033476",
            "telephone_number": "606-677-2193",
            "fax_number": "606-677-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 TOWER CIR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033476",
            "telephone_number": "606-677-2193",
            "fax_number": "606-677-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "BENJAMIN",
        "middle_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "43526",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "43526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100140800",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY MULTIPLE SINGLE SPECIALTY GROUP",
            "identifier": "193400000X",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65933517",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0696901",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.