Active NPI
Bryan Cross, D.O.
- Colon & Rectal Surgery Physician
- Pensacola, FL
National Provider Identifier
1245640291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- A-2048-17
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000B4739 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A-2048-17 | NM | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Past | Accepting new patients | |
| Indianapolis Osteopathic Hospital, Inc | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Foot & Ankle Surgery Podiatrist
- Indianapolis, IN
- NPI 1407111875
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.