Active NPI
Bryan Christopher Swanson, D.O.
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 02003447A
- Practice address
- 35491 Eagle Way
Chicago, IL 60678-0001 - Phone
- (219) 864-2107
- Fax
- (219) 864-2649
- NPI assigned
- Feb 13, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 02003447A | IN | Primary |
Addresses
Primary practice location
35491 Eagle Way
Chicago, IL 60678-0001
Mailing address
PO Box 1000
Dyer, IN 46311-0800
Phone (219) 864-2107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200982680 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1141 Hospital Dr NW
Corydon, IN 47112-2164
Phone (812) 738-4251
12750 Saint Francis Dr
Crown Point, IN 46307-0264
Phone (219) 738-2100
701 Superior Ave
Munster, IN 46321-4037
Phone (219) 922-4200
Hospital & facility affiliations
- Franciscan Health Crown Point
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksville Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Clarksville Physician Services PC | Current | Accepting new patients |
Locations
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200
Interoperability endpoints
- bswanson65319@direct.franciscanalliance.org
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.
-
- Emergency Medicine Physician
- Corydon, IN
- NPI 1023487154
-
- Internal Medicine Physician
- Corydon, IN
- NPI 1811629546
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1255570263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"city": "DYER",
"state": "IN",
"postal_code": "463110800",
"telephone_number": "219-864-2107",
"fax_number": "219-864-2649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35491 EAGLE WAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606780001",
"telephone_number": "219-864-2107",
"fax_number": "219-864-2649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "BRYAN",
"middle_name": "CHRISTOPHER",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-13",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "02003447A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200982680",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.