Individual provider Active NPI

Roy Gordon Bryan, M.D.

  • Diagnostic Radiology Physician
  • Thousand Oaks, CA
National Provider Identifier
1396021648
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
251258 Issued in MA
Practice address
100 Moody CT Ste 200
Thousand Oaks, CA 91360-6082
Phone
(310) 301-6800
NPI assigned
Nov 1, 2011
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 68651 CT
Neuroradiology Physician 2085N0700X A124590 CA
Diagnostic Radiology Physician 2085R0202X 04-53006 KS
Diagnostic Radiology Physician 2085R0202X A124590 CA
Diagnostic Radiology Physician 2085R0202X MD-25021 HI
Diagnostic Radiology Physician 2085R0202X 68651 CT
Diagnostic Radiology Physician 2085R0202X 257014 MA
Diagnostic Radiology Physician 2085R0202X 45102 OK
Diagnostic Radiology Physician 2085R0202X 251258 MA Primary

Addresses

Primary practice location

100 Moody CT Ste 200
Thousand Oaks, CA 91360-6082

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 623-5701

Other practice location 2

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000

Other practice location 3

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7150

Other practice location 4

400 W Pueblo St
Dept. of Radiology
Santa Barbara, CA 93105-4353
Phone (805) 569-7279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA, CT, GA, MI, OK, KS7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20150812008003 MA Practitioner - Diagnostic Radiology 7113171240 Reassigns benefits to 5 organizations
Practice locations: Framingham, MA
I20160826001633 CA Practitioner - Diagnostic Radiology 7113171240 Reassigns benefits to 21 organizations
I20210623003609 CT Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 7113171240 Reassigns benefits to 1 organization
I20241109000388 GA Practitioner - Diagnostic Radiology 7113171240 Reassigns benefits to 1 organization
I20241119002504 MI Practitioner - Diagnostic Radiology 7113171240 Reassigns benefits to 1 organization
I20250320000179 OK Practitioner - Diagnostic Radiology 7113171240 Reassigns benefits to 1 organization
I20260603003777 KS Practitioner - Diagnostic Radiology 7113171240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Minnesota Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCLA Radiology Medical GroupGroup PAC ID 8921902065, 193 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Signature Healthcare Medical Group IncGroup PAC ID 7719876267, 250 clinicians

Practice addresses (Care Compare)

100 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

1260 15TH St
Suite 111
Santa Monica, CA 90404-1136
Phone (310) 393-5153

1755 Ofarrell St
PH 1G
San Francisco, CA 94115-3588
Phone (404) 851-6577

200 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

2200 N Sepulveda Blvd
Manhattan Beach, CA 90266-2910
Phone (310) 802-0200

26585 Agoura Rd
Suite 210
Calabasas, CA 91302-1958
Phone (818) 878-0028

271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9000

300 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

300 UCLA Medical PLZ
Suite B130
Los Angeles, CA 90095-8346
Phone (310) 206-0456

30700 Russell Ranch Rd
Suite 110
Westlake Village, CA 91362-9500
Phone (818) 661-6570

4343 Lankershim Blvd
North Hollywood, CA 91602-2705

4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone (405) 636-7000

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000

757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 825-9111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A124590CAMDNeuroradiology Physician
68651CTMDNeuroradiology Physician
MD-25021HIMDDiagnostic Radiology Physician
04-53006KSMDDiagnostic Radiology Physician
251258MAMDDiagnostic Radiology Physician
257014MAMDDiagnostic Radiology Physician
45102OKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Neuroradiology CurrentSince Oct 30, 2025 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Mar 10, 2021 Accepting new patients
Santa Barbara Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jul 3, 2017 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Aug 28, 2024 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince May 8, 2023 Accepting new patients
Sansum Clinic CurrentSince Oct 10, 2017 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Nov 11, 2024 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Sansum Clinic Current Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince May 8, 2023 Accepting new patients
Riverbend Medical Group, Inc CurrentSince May 4, 2024 Accepting new patients
Farmington Imaging Center, LLC Neuroradiology CurrentSince Feb 17, 2025 Accepting new patients
Simonmed Reno PLLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Jefferson Radiology, PC Neuroradiology CurrentSince Dec 10, 2024 Accepting new patients
Tic, LLC Diagnostic Radiology CurrentSince Jun 2, 2025 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince May 8, 2023 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Sep 1, 2024 Accepting new patients
Signature Healthcare Medical Group Inc CurrentSince Sep 30, 2023 Accepting new patients
Singleton Associates PA Neuroradiology CurrentSince Jul 12, 2022 Accepting new patients
Pih Health Physicians CurrentSince Mar 1, 2022 Accepting new patients
Lambert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Providence Diagnostic Imaging, Inc. Neuroradiology CurrentSince Dec 27, 2022 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Physicians of Cape Cod Hospital Neuroradiology CurrentSince Sep 15, 2018 Accepting new patients
Mymichigan Medical Group CurrentSince Nov 11, 2024 Accepting new patients
Connecticut Imaging Partners, LLC Neuroradiology CurrentSince Jan 23, 2025 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Feb 24, 2025 Accepting new patients
Riverbend Medical Group, Inc. Diagnostic Radiology CurrentSince May 4, 2024 Accepting new patients
Sansum Clinic CurrentSince Oct 10, 2017 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince May 8, 2023 Accepting new patients
Phoebe Primary Care CurrentSince Sep 1, 2024 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince May 8, 2023 Accepting new patients
Windham Community Memorial Hospital, Inc. Past Accepting new patients
The Mercy Hospital Inc Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
UCLA Medical Group Diagnostic Radiology Past Accepting new patients
Cape Cod Hospital Inc Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
VHS of Arrowhead, Inc Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Quantum Medical Radiology of California, P.C. Diagnostic Radiology Past Accepting new patients
Universal Radiology Consultants PC Diagnostic Radiology PastSince Aug 12, 2017 Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Hartford Hospital Past Accepting new patients
Mymichigan Medical Center Midland Past Accepting new patients
Jupiter Imaging Associates Inc Diagnostic Radiology PastSince Sep 17, 2019 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations (25 of 150)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

3645 S Rome St
Ste 101
Gilbert, AZ 85297

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

3630 W Tangerine Rd
Ste 100
Marana, AZ 85658
Phone (520) 744-3206

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

10575 N Tatum Blvd
Ste C128
Paradise Vly, AZ 85253
Phone (480) 998-1490

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

26900 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 524-8960

9165 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 285-1120

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

18404 N Tatum Blvd
Ste 103
Phoenix, AZ 85032
Phone (602) 485-7490

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson
  • Direct secure messaging: rbryan3102826@direct.trinity-health.org
  • Direct secure messaging: rbryan447288@direct.uclahealth.org
  • Direct secure messaging: roy.bryan@direct.signature.masshiway.net

Organizations & group practices 54

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.

View all 54

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1396021648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MOODY CT STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606082",
            "telephone_number": "310-301-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Canterbury Dr",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012370",
            "country_code": "US",
            "telephone_number": "785-623-5701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3288 Moanalua Rd",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968191469",
            "country_code": "US",
            "telephone_number": "808-432-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023308",
            "country_code": "US",
            "telephone_number": "508-941-7150",
            "fax_number": "508-941-6494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Pueblo St",
            "address_2": "Dept. of Radiology",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931054353",
            "country_code": "US",
            "telephone_number": "805-569-7279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "ROY",
        "middle_name": "GORDON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-01",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CT",
            "license": "68651",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A124590",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-53006",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A124590",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD-25021",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "68651",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "257014",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "45102",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "251258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.