Gary B. Bryant, MD, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD009298 Issued in TN

Legal business name

GARY B. BRYANT, MD, PC

Practice address

119 E Fort St
Manchester, TN 37355-1508

Phone

(931) 728-4477

Fax

(931) 728-4997

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Gary B Bryant, MD

Title

President

Phone

(931) 728-4477

Specialties & licenses 1

Addresses

Other identifiers 8

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connie Lou Bristol, FNP-C

  • Nurse Practitioner
  • Winchester, TN
  • NPI 1437301496
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1285646950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373490240",
            "telephone_number": "931-728-4477",
            "fax_number": "931-728-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E FORT ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551508",
            "telephone_number": "931-728-4477",
            "fax_number": "931-728-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY B. BRYANT, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-728-4477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD009298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "01-40498",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "3034820",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3158264",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01037992",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "89001688",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080145045",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHC HEALTH BENEFIT PLAN",
            "identifier": "00001849",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3158265",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David G Florence, DO
• Nigel M Fontenot, MD
• Evan Scott Forhetz, PA-C
• Andrew Josef Frideczky
• Timothy Garrett, RDN, LDN
• General Ultra Sound Imaging Center LLC
• Bridget Odonnell George, APN
• Charlotte Gibbs
• Yogeshwar S Gill, M.D.
• Kara Gingras, DC

• Primary Care Clinic/Center in Manchester, TN
• Providers in Manchester, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.