Elizabeth Gray Bryan

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2623 Issued in SC

Practice address

336 Georgia Ave
North Augusta, SC 29841-3849

Phone

(803) 553-0327

NPI assigned

Sep 2, 2016

Last updated

Jan 26, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Bragan Gray Former name

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Umg Prompt Care LLC

  • Sports Medicine (Family Medicine) Physician
  • Grovetown, GA
  • NPI 1457759847
  NPD
• University Health Care Physicians LLC

  dba University Physicians

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1568786192
  NPD
• University Medical Group LLC

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1871885806
  NPD
• University Prompt Care

  • Urgent Care Clinic/Center
  • Evans, GA
  • NPI 1326132788
  NPD

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1215484530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-854-6917",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 GEORGIA AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413849",
            "telephone_number": "803-553-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "ELIZABETH",
        "middle_name": "GRAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GRAY",
            "middle_name": "BRAGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jean Rochelle Brown
• Jeanora Brown
• Karen Brown
• Margery A Brown
• Spechell Brown
• Vickie Lynn Bryan, OTR/L
• Ron E. Bryant, DDS
• Yolanda Bryant, MD
• Andrew James Buist, D.M.D.
• Robert James Buist, DMD

• Physician Assistant in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.