Active NPI
Kristy Lynn Bryan, M.D.
- Internal Medicine Physician
- Collierville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 39119
- 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, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39119 | TN | MD | Internal Medicine Physician |
| MD0000039119 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Specialty Physicians, LLC | Current | 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
- 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.
-
dba Methodist Alliance Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Memphis, TN
- NPI 1457557027
-
dba BMG East Memphis Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.