Mary Irene Bryan, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2308 Issued in CO

Practice address

660 Golden Ridge Rd
Suite 250
Golden, CO 80401-9541

Phone

(303) 233-1223

Fax

(303) 233-8755

NPI assigned

Oct 18, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Panorama Orthopedics and Spine Center PCGroup PAC ID 8426961087, 316 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orthocolorado Hosp at St Anthony Med Campus Hospital, Lakewood, CO, CCN 060124

Merit-based Incentive Payment System (MIPS)

Final score

96.68 of 100Reported as group

Quality

96.09

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Panorama Orthopedics and Spine Center PC

  • Orthopaedic Surgery Physician
  • Golden, CO
  • NPI 1295787950

  Physician Assistant

  Medicare reassignment Care Compare group NPD (past)
• Panorama Orthopedics & Spine Center, PC

  • Orthopaedic Surgery Physician
  • Westminster, CO
  • NPI 1013537588

  Physician Assistant

  NPD
• Panorama Orthopedics & Spine Center, PC

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1194390518
  NPD
• Steadman Clinic Professional LLC

  • Specialist
  • Vail, CO
  • NPI 1952327835
  NPD (past)
• Maui Memorial Medical Center

  dba Maui Memorial Medical Center Outpatient Clinic

  • General Acute Care Hospital
  • Wailuku, HI
  • NPI 1609275262
  NPD (past)
• Maui Memorial Medical Center

  • Skilled Nursing Facility
  • Wailuku, HI
  • NPI 1962583708
  NPD (past)
• Maui Memorial Medical Center - Behavior Health

  • Psychologist
  • Wailuku, HI
  • NPI 1528391448
  NPD (past)
• Maui Memorial Medical Center - Cardio Vascular

  • Specialist
  • Wailuku, HI
  • NPI 1619200532
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Orthocolorado, LLC

  dba OrthoColorado Hospital

  • Special Hospital
  • Lakewood, CO
  • NPI 1306176839
  Care Compare affiliation

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1285715771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD",
            "address_2": "SUITE 250",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-233-1223",
            "fax_number": "303-233-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD",
            "address_2": "SUITE 250",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-233-1223",
            "fax_number": "303-233-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "MARY",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA 2308",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2308",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "HI",
            "license": "AMD-329",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2308",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HI LIC.",
            "identifier": "AMD-329",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NARC",
            "identifier": "A00133",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Leigh Brown, D.C.
• Megan Broyles
• Mary Angela Bruggeman, FNP-C
• Patricia Brumbaugh, M.D.
• Ashley Elizabeth Bruno, PA-C
• Joseph Bryant, DPT, OCS
• Kim Jean Buckley, PA-C
• Barbara Buckmaster, CRNA
• Patricia Ann Buehler, PA-C
• Anna Florentine Bugge

• Medical Physician Assistant in Golden, CO
• Providers in Golden, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.