Individual provider Active NPI

Joseen A Bryant, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Chicago, IL
National Provider Identifier
1326333618
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
036134797 Issued in IL
Practice address
2740 W Foster Ave Ste 150
Chicago, IL 60625-3524
Phone
(847) 982-3172
NPI assigned
Jun 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A136892 CA
Family Medicine Physician 207Q00000X 125059834 IL
Sports Medicine (Family Medicine) Physician 207QS0010X 125059834 IL
Sports Medicine (Family Medicine) Physician 207QS0010X 01078174A IN
Sports Medicine (Family Medicine) Physician 207QS0010X 036134797 IL Primary

Addresses

Primary practice location

2740 W Foster Ave Ste 150
Chicago, IL 60625-3524

Mailing address

8049 W 85TH CT
Crown Point, IN 46307-8981
Phone (615) 260-8682

Other practice location 1

9660 Wicker Ave
Saint John, IN 46373-9487
Phone (219) 365-1166

Other practice location 2

5521 W Lincoln Hwy Ste 230
Crown Point, IN 46307-1099
Phone (219) 301-1158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20140805001737 IL Practitioner - Sports MedicinePractitioner - Family Practice 4981821584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136892CAMDFamily Medicine Physician
125059834ILMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jan 12, 2023 Accepting new patients
Endeavor Health Medical Group Family Medicine CurrentSince Jan 12, 2023 Accepting new patients

Locations

2740 W Foster Ave
Ste 150
Chicago, IL 60625
Phone (847) 982-3172

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1326333618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8049 W 85TH CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078981",
            "telephone_number": "615-260-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE STE 150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253524",
            "telephone_number": "847-982-3172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9660 Wicker Ave",
            "address_purpose": "LOCATION",
            "city": "Saint John",
            "state": "IN",
            "postal_code": "463739487",
            "country_code": "US",
            "telephone_number": "219-365-1166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5521 W Lincoln Hwy Ste 230",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463071099",
            "country_code": "US",
            "telephone_number": "219-301-1158",
            "fax_number": "219-301-1158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "JOSEEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A136892",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125059834",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IL",
            "license": "125059834",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IN",
            "license": "01078174A",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IL",
            "license": "036134797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.