Individual provider Active NPI

Bryant Alexandra Meyer, PA-C

  • Medical Physician Assistant
  • New Haven, CT
National Provider Identifier
1184945636
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3106 Issued in CT
Practice address
1 Long Wharf Dr Ste 212
New Haven, CT 06511-5593
Phone
(203) 624-4208
Fax
(203) 624-4301
NPI assigned
Jun 18, 2010
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 9105126 FL
Medical Physician Assistant 363AM0700X 3106 CT Primary

Addresses

Primary practice location

1 Long Wharf Dr Ste 212
New Haven, CT 06511-5593

Mailing address

1 Long Wharf Dr Ste 212
New Haven, CT 06511-5593
Phone (203) 624-4208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220107002167 CT Practitioner - Physician Assistant 2769507631 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3106CTMDMedical Physician Assistant
PA 9105126FLMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: bmeyer488128@direct.ynhh.org
  • Direct secure messaging: bryant.meyer@xdr.hhchealthdirect.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1184945636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LONG WHARF DR STE 212",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115593",
            "telephone_number": "203-624-4208",
            "fax_number": "203-624-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LONG WHARF DR STE 212",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115593",
            "telephone_number": "203-624-4208",
            "fax_number": "203-624-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "BRYANT",
        "middle_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9105126",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "3106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.