Individual provider Active NPI

Kristy Lynn Bryan, M.D.

  • Internal Medicine Physician
  • Collierville, TN
National Provider Identifier
1316996572
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39119 Issued in TN
Practice address
1500 West Poplar Avenue
Suite 202
Collierville, TN 38017
Phone
(901) 861-9090
Fax
(901) 861-9099
NPI assigned
May 8, 2006
Last updated
Sep 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000039119 TN
Internal Medicine Physician 207R00000X 39119 TN Primary

Addresses

Primary practice location

1500 West Poplar Avenue
Suite 202
Collierville, TN 38017

Mailing address

P.O. Box 405827
Atlanta, GA 30384-5827
Phone (870) 934-5821

Other names 1

  • Dr. Kristy Lynn Price Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000981 TN Practitioner - Internal Medicine 6204864622 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39119TNMDInternal Medicine Physician
MD0000039119TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Specialty Physicians, LLC CurrentSince Oct 30, 2018 Accepting new patients
Baptist Memorial Medical Group Inc Past Accepting new patients

Locations

6400 Shelby View Dr
Ste 101
Memphis, TN 38134
Phone (901) 516-1489

6423 Shelby View Dr
Ste 103
Memphis, TN 38134
Phone (901) 516-1600

Interoperability endpoints

  • Direct secure messaging: kbryan28166@mlh.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1316996572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845827",
            "telephone_number": "870-934-5821",
            "fax_number": "870-934-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WEST POPLAR AVENUE",
            "address_2": "SUITE 202",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "38017",
            "telephone_number": "901-861-9090",
            "fax_number": "901-861-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "KRISTY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000039119",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "39119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "PRICE",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.