Organization Active NPI

Gary B. Bryant, MD, PC

  • Primary Care Clinic/Center
  • Manchester, TN
National Provider Identifier
1285646950
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD009298 TN Primary

Addresses

Primary practice location

119 E Fort St
Manchester, TN 37355-1508

Mailing address

PO Box 240
Manchester, TN 37349-0240
Phone (931) 728-4477

National Provider Directory

National Provider Directory

Locations

119 E Fort St
Manchester, TN 37355
Phone (931) 728-0939

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

  • 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.