Juanita E Bryan, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10000231A Issued in IN

Practice address

125 E Cherry St
Bluffton, IN 46714

Phone

(260) 824-3500

NPI assigned

Feb 8, 2006

Last updated

Dec 11, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Markle Medical Center, Inc

  • Family Medicine Physician
  • Bluffton, IN
  • NPI 1740252980
  NPD (past)
• Markle Medical Center, Inc

  • Family Medicine Physician
  • Warren, IN
  • NPI 1942272943
  NPD (past)
• Markle Medical Center, Inc

  • Family Medicine Physician
  • Markle, IN
  • NPI 1962474957
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1306819735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 POINTE INVERNESS WAY STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047934",
            "telephone_number": "260-479-3513",
            "fax_number": "260-479-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E CHERRY ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "46714",
            "telephone_number": "260-824-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Horton St",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "IN",
            "postal_code": "467143607",
            "country_code": "US",
            "telephone_number": "260-824-0800",
            "fax_number": "260-824-7243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W Horton St",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "IN",
            "postal_code": "467143607",
            "country_code": "US",
            "telephone_number": "260-824-0800",
            "fax_number": "260-824-7243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "JUANITA",
        "middle_name": "E",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000231A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluffton-Harrison M.S.D.
• Isabel Ruth Borrmann
• Kali Marinn Boxell
• Stuart L Brodsky, M.D.
• David C Brown, D.O.
• Carol J Butler, M.D.
• Matthew Campbell, LAT, ATC, CBIS, ITAT
• Adam Carroll
• Caylor Nickel Clinic, PC
• Grace Elaine Cebalt, AU.D

• Physician Assistant in Bluffton, IN
• Providers in Bluffton, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.