Roy G Bryan, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

WY5363A Issued in WY

Practice address

2221 W Elm Street
Rawlins, WY 82301

Phone

(307) 324-2221

Fax

(307) 324-8232

NPI assigned

Dec 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY, TX2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Memorial Hospital of Carbon County

  dba Wagon Circle Family Medical Clinic

  • Family Medicine Physician
  • Rawlins, WY
  • NPI 1508900341
  Medicare reassignment NPD
• Memorial Hospital of Carbon County

  • Critical Access Hospital
  • Rawlins, WY
  • NPI 1710298757
  Medicare reassignment NPD
• Memorial Hospital of Carbon County

  • Medicare Defined Swing Bed Hospital Unit
  • Rawlins, WY
  • NPI 1891006839
  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Lavaca Hospital District

  dba Lavaca Medical Center

  • Emergency Medicine Physician
  • Hallettsville, TX
  • NPI 1245274471
  Medicare reassignment
• Lavaca Hospital District

  dba Lavaca Medical Center

  • Critical Access Hospital
  • Hallettsville, TX
  • NPI 1992767511
  Medicare reassignment
• Memorial Hospital of Carbon County

  • Home Health Agency
  • Rawlins, WY
  • NPI 1295896496
  NPD
• Memorial Hospital of Carbon County

  • General Acute Care Hospital
  • Rawlins, WY
  • NPI 1417031311
  NPD

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366501264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 W ELM STREET",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "82301",
            "telephone_number": "307-324-2221",
            "fax_number": "307-324-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 W ELM STREET",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "82301",
            "telephone_number": "307-324-2221",
            "fax_number": "307-324-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "ROY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "WY5363A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLX BLS",
            "identifier": "314111",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1092778400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Elmer Blake Sr.
• Kinta Maria Blumenthal, BA
• Brian Pieper, O.D. P.C. (Rawlins Eye Care)
• Alison Brown
• Valorie Dee Brown, RN
• Justin Burgess, CSW
• Donald Burmeister
• Steven J Burt, DDS
• Carbon County Emergency Medical Services
• Carbon County Senior Services, Inc

• Emergency Medicine Physician in Rawlins, WY
• Providers in Rawlins, WY by specialty
• Emergency Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• 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.