NPIMap

Individual provider Active NPI

Andrew D Bryant, D.O

  • Family Medicine Physician
  • Madison, WV
National Provider Identifier
1194018093
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2862 Issued in WV
Practice address
701 Madison Ave
Madison, WV 25130-1699
Phone
(304) 369-1230
NPI assigned
May 25, 2011
Last updated
May 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT014126 PA
Family Medicine Physician 207Q00000X 34.015525 OH
Family Medicine Physician 207Q00000X 2862 WV Primary

Addresses

Primary practice location

701 Madison Ave
Madison, WV 25130-1699

Mailing address

701 Madison Ave
Madison, WV 25130-1699
Phone (304) 369-1230

Other practice location 1

660A S Main St
Madison, WV 25130-1245
Phone (304) 369-4250

Other practice location 2

697 Madison Avenue
Madison, WV 25130
Phone (304) 369-8826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140918001392 WV Practitioner - Family PracticePractitioner - Hospitalist 7113157637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
West Virginia School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Memorial Hospital IncGroup PAC ID 3375433352, shared by 8 NPIs, 78 clinicians

Practice addresses (Care Compare)

697 Madison Ave
Madison, WV 25130
Phone (304) 369-1230

701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230

701 Madison Ave
Madison, WV 25130-1699

716 Madison Ave
Madison, WV 25130-1624
Phone (304) 369-1230

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.015525OHMDFamily Medicine Physician
OT014126PAMDFamily Medicine Physician
2862WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Memorial Hospital, Inc CurrentSince Jun 1, 2021 Accepting new patients
Boone Memorial Hospital, Inc Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Boone Memorial Hospital, Inc Family Medicine Current Accepting new patients
Boone Memorial Hospital, Inc Past Accepting new patients
Boone Memorial Hospital, Inc Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
Ohio Valley Physicians Inc Family Medicine Past Accepting new patients
Boone Memorial Hospital, Inc Past Accepting new patients

Locations

6952 Coal River Rd
#C
Comfort, WV 25049
Phone (304) 307-3116

300 4th St
Danville, WV 25053
Phone (304) 307-6201

660 S Main St
#A
Madison, WV 25130
Phone (304) 369-1230

701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230

716 Madison Ave
Madison, WV 25130
Phone (304) 369-1230

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/boonemh-81155461

Organizations & group practices 9

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1194018093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MADISON AVE",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301699",
            "telephone_number": "304-369-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MADISON AVE",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301699",
            "telephone_number": "304-369-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660A S Main St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WV",
            "postal_code": "251301245",
            "country_code": "US",
            "telephone_number": "304-369-4250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "697 Madison Avenue",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WV",
            "postal_code": "25130",
            "country_code": "US",
            "telephone_number": "304-369-8826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ANDREW",
        "middle_name": "D",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT014126",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.015525",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WV

Sources for this page

Verify at the official NPI Registry.