Organization Active NPI

Bryan Myers MD PC

  • Obstetrics & Gynecology Physician
  • Winchester, TN
National Provider Identifier
1316258809
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BRYAN MYERS MD PC
Practice address
161 Shirley Dr
Winchester, TN 37398-2256
Phone
(931) 962-0450
Fax
(931) 962-0470
NPI assigned
Jun 29, 2010
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Bryan C. MyersNPI 1548331275
Title
MD
Phone
(931) 962-0450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

161 Shirley Dr
Winchester, TN 37398-2256

Mailing address

161 Shirley Dr
Winchester, TN 37398-2256
Phone (931) 962-0450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101015000378 TN Part B Supplier - Clinic/Group Practice 7214120872 Receives reassigned benefits from 4 practitioners
Practice locations: Manchester, TN; Tullahoma, TN; Winchester, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2002707Bryan Myers MD PC161 Shirley Drive, Winchester, TN 37398Provider-performed microscopyJan 24, 2028

National Provider Directory

National Provider Directory

Locations

100 Hunters Ln
Ste 100B
Tullahoma, TN 37388
Phone (931) 393-4700

106 Westside Dr
Ste A
Tullahoma, TN 37388

Practitioners & affiliated clinicians

Practitioners 5

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": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1316258809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 SHIRLEY DR",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982256",
            "telephone_number": "931-962-0450",
            "fax_number": "931-962-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 SHIRLEY DR",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982256",
            "telephone_number": "931-962-0450",
            "fax_number": "931-962-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN MYERS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "931-962-0450"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.