Julie H. Bryson, M.D.
Individual provider Active NPI Family Medicine Physician · Barstow, CA
NPI 1235173253 · NPPES record last updated Nov 16, 2023
Key facts
- NPI
- 1235173253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- M-1599 (GU)
- Practice address
- 801 E Mountain View St
Barstow, CA 92311-3053 - Phone
- (907) 442-3321
- Fax
- (907) 442-7250
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of California, Davis School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Maniilaq Association
Practice addresses (Care Compare)
436 5TH and Ted Stevens Way
Maniilaq Health Center
Kotzebue, AK 99752-0043
Phone (907) 442-3321
Hospital & facility affiliations
- Maniilaq Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CA, GU, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040802001418 | CA | Practitioner - Family Practice | 2860463031 | Reassigns benefits to 1 organization |
| I20080117000301 | GU | Practitioner - Family Practice | 2860463031 | Reassigns benefits to 1 organization |
| I20101013000816 | TX | Practitioner - Family Practice | 2860463031 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A64881 | CA | MD | Family Medicine Physician |
| M-1599 | GU | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maniilaq Association | Current |
Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current |
Accepting new patients | |
| Maniilaq Association | Current |
Accepting new patients | |
| Maniilaq Association | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Family Medicine | Current |
Accepting new patients |
| Chase Dennis Emergency Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
25455 Barton Rd
Ste 204B
Loma Linda, CA 92354
Phone (909) 558-6526
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
File 54701
Los Angeles, CA 90074
Phone (909) 651-4300
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
Interoperability endpoints
- jbryson740375@direct.llu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A64881 | CA | |
| Family Medicine Physician | 207Q00000X | A64881 | CA | |
| Family Medicine Physician | 207Q00000X | M-1599 | GU | Yes |
Addresses
Primary practice location
801 E Mountain View St
Barstow, CA 92311-3053
Mailing address
35379 Cabrini Dr
Yucaipa, CA 92399-4817
Phone (907) 442-3321
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HS19OP | Medicaid | AK | |
| A64881 | Other | CA | BLUE CROSS |
| 00A648810 | Medicaid | CA | |
| HS19IP | Medicaid | AK | |
| 00A648810 | Other | CA | BLUE SHIELD |
| 00A648810 | Other | CA | CALOPTIMA |
| 050608CH02571 | Other | CA | DELANO TRAILBLAZER |
Other providers in Barstow, CA
- Ariel Bridges
- Alicia Rachelle Brown
- Carl Leon Brown Jr.
- Eric Brown
- Kiana Brown
- Kenna Burch
- Ariel T. Burgess
- Melissa A Burman
- James Butler
- Yvonne Butticci
All providers in Barstow, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.