Individual provider Active NPI

Bryan Cross, D.O.

  • Colon & Rectal Surgery Physician
  • Pensacola, FL
National Provider Identifier
1245640291
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
A-2048-17 Issued in NM
Practice address
790 Veterans Way
Pensacola, FL 32507-1000
Phone
(850) 912-2203
NPI assigned
Apr 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X A-2048-17 NM Primary

Addresses

Primary practice location

790 Veterans Way
Pensacola, FL 32507-1000

Mailing address

790 Veterans Way
Pensacola, FL 32507-1000
Phone (850) 912-2203

Other practice location 1

2495 Shreveport Hwy (VA Medical Center)
Mail Code 112
Pineville, LA 71360
Phone (318) 466-4034 ext. 4034

Other practice location 2

3660 Guion Rd
Suite 330- Bethesda Colon and Rectal
Indianapolis, IN 46222-1697
Phone (317) 923-1033

Other identifiers 1

IdentifierTypeStateIssuer
000B4739MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bryan.cross.1@1739.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-2048-17NMMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc Past Accepting new patients
Indianapolis Osteopathic Hospital, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bcross114352@ecommunitydirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1245640291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 VETERANS WAY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325071000",
            "telephone_number": "850-912-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 VETERANS WAY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325071000",
            "telephone_number": "850-912-2203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2495 Shreveport Hwy (VA Medical Center)",
            "address_2": "Mail Code 112",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "LA",
            "postal_code": "71360",
            "country_code": "US",
            "telephone_number": "318-466-4034 x4034",
            "fax_number": "575-397-1012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3660 Guion Rd",
            "address_2": "Suite 330- Bethesda Colon and Rectal",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462221697",
            "country_code": "US",
            "telephone_number": "317-923-1033",
            "fax_number": "317-644-5051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NM",
            "license": "A-2048-17",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000B4739",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bryan.cross.1@1739.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5419 N Lovington Hwy Ste 35",
            "city": "Hobbs",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882409136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.