Individual provider Active NPI

Melinda F Bryan, PH.D., CCC-A

  • Audiologist
  • Ruston, LA
National Provider Identifier
1275658239
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5681 Issued in MP
Practice address
509 W Alabama Ave
Ruston, LA 71270-4231
Phone
(318) 257-2438
Fax
(318) 257-4492
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Tennessee, HSC, College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Tech Speech and Hearing Center 3 clinicians

Practice addresses (Care Compare)

509 W Alabama Ave
Ruston, LA 71270-4231
Phone (318) 257-2438

Merit-based Incentive Payment System (MIPS)

Final score
60.95 of 100Reported as group
Quality
35.55
Promoting interoperability
88
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205002154 LA Practitioner - Qualified Audiologist 0840626172 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5681MPMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Tech University Audiologist Current Accepting new patients

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 5681 MP Primary

Addresses

Primary practice location

509 W Alabama Ave
Ruston, LA 71270-4231

Mailing address

2247 Highway 820
Choudrant, LA 71227-3323
Phone (318) 525-4906

Other practice location 1

2802 Kilpatrick Blvd
Monroe, LA 71201-5139
Phone (318) 855-6282

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1275658239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 HIGHWAY 820",
            "city": "CHOUDRANT",
            "state": "LA",
            "postal_code": "712273323",
            "telephone_number": "318-525-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W ALABAMA AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704231",
            "telephone_number": "318-257-2438",
            "fax_number": "318-257-4492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2802 Kilpatrick Blvd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015139",
            "country_code": "US",
            "telephone_number": "318-855-6282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "MELINDA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PH.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MP",
            "license": "5681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.