Individual provider Active NPI

Kristina Kruer Bryant, MD

  • Pediatric Infectious Diseases Physician
  • Louisville, KY
National Provider Identifier
1194709196
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
31275 Issued in KY
Practice address
210 E Gray St
Ste 802
Louisville, KY 40202-3904
Phone
(502) 588-2348
Fax
(502) 588-2334
NPI assigned
Dec 2, 2005
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 31275 KY
Pediatric Infectious Diseases Physician 2080P0208X 31275 KY Primary

Addresses

Primary practice location

210 E Gray St
Ste 802
Louisville, KY 40202-3904

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-2348

Other identifiers 2

IdentifierTypeStateIssuer
200272740MedicaidIN
64011620MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kbryant45005@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

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
I20071012000395 KY Practitioner - Pediatric MedicinePractitioner - Infectious Disease 4385730928 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Pediatrics CurrentSince Feb 10, 2020 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Sep 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. Pediatrics Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Sep 1, 2012 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Feb 10, 2020 Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics Past Accepting new patients

Locations (25 of 40)

7752 Solution Ctr
Chicago, IL 60677

1301 Ring Rd
Elizabethtown, KY 42701
Phone (270) 765-2107

202 Limestone St S
Ste 1
Frankfort, KY 40601

4 Physicians Park
Frankfort, KY 40601
Phone (502) 223-8400

100 Mallard Creek Rd
Ste 395
Louisville, KY 40207
Phone (502) 895-9421

1015 Dorsey Ln
Louisville, KY 40223
Phone (502) 245-1576

10211 Westport Rd
Louisville, KY 40241
Phone (502) 339-0444

1050 E Market St
Ste 101
Louisville, KY 40206
Phone (502) 588-8900

189 Outer Loop
Ste 2
Louisville, KY 40214
Phone (502) 379-8870

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

2021 Hikes Ln
Louisville, KY 40218
Phone (502) 446-5461

210 E Gray St
Louisville, KY 40202
Phone (502) 587-9350

210 E Gray St
Ste 802
Louisville, KY 40202
Phone (502) 290-7575

230 E Broadway
Louisville, KY 40202
Phone (502) 629-8901

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

234 E Gray St
Ste 658
Louisville, KY 40202
Phone (502) 852-8362

2360 Stony Brook Dr
Louisville, KY 40220
Phone (502) 446-5462

2933 Breckenridge Ln
Ste 102
Louisville, KY 40220
Phone (502) 588-9588

3026 Poplar Level Rd
Louisville, KY 40217
Phone (502) 636-4929

3840 Ruckriegel Pkwy
Ste 105
Louisville, KY 40299
Phone (502) 261-7227

4010 DuPont Cir
Ste 283
Louisville, KY 40207
Phone (502) 897-1727

411 E Chestnut St
#3
Louisville, KY 40202
Phone (502) 588-4910

411 E Chestnut St
#4B
Louisville, KY 40202
Phone (502) 588-3600

4420 Dixie Hwy
Ste 126
Louisville, KY 40216
Phone (502) 810-3780

4884 Brownsboro Rd
Louisville, KY 40207
Phone (502) 896-4459

Interoperability endpoints

  • Direct secure messaging: kristina.bryant.p1@direct.lmphw.nextgenshare.com

Organizations & group practices 7

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1194709196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-2348",
            "fax_number": "502-588-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST",
            "address_2": "STE 802",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023904",
            "telephone_number": "502-588-2348",
            "fax_number": "502-588-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "KRISTINA",
        "middle_name": "KRUER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "31275",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "KY",
            "license": "31275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200272740",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64011620",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbryant45005@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "210 E Gray St",
            "address_2": "Ste 802",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402023904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "210 E Gray St",
            "address_2": "Ste 802",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402023904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.