Organization Active NPI

Don Bryant, MD

  • Clinic/Center
  • Anderson, SC
National Provider Identifier
1316967532
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
8960 Issued in SC
Legal business name
DON BRYANT, MD
Practice address
4144 Clemson Blvd
Anderson, SC 29621-1108
Phone
(864) 224-9598
Fax
(864) 226-2462
NPI assigned
Jul 20, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
C Don Bryant, MD
Title
Owner
Phone
(864) 224-9598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 8960 SC Primary

Addresses

Primary practice location

4144 Clemson Blvd
Anderson, SC 29621-1108

Mailing address

4144 Clemson Blvd
Anderson, SC 29621-1108
Phone (864) 224-9598

Other identifiers 1

IdentifierTypeStateIssuer
GP3027MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1316967532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 CLEMSON BLVD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211108",
            "telephone_number": "864-224-9598",
            "fax_number": "864-226-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 CLEMSON BLVD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211108",
            "telephone_number": "864-224-9598",
            "fax_number": "864-226-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON BRYANT, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-224-9598",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "8960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3027",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.