Bryan M Blair, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35792 Issued in KY

Practice address

6400 Westwind Way
Crestwood, KY 40014-6773

Phone

(502) 243-2227

Fax

(502) 243-2237

NPI assigned

Oct 12, 2005

Last updated

Jun 10, 2021By 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 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Ophthalmology

Education

University of Kentucky College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Centers of Louisville,PSCGroup PAC ID 4789584921, 31 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.51 of 100Reported as group

Quality

84.13

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bryan.blair.p2@direct.johnkenyon.nextgenshare.com

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.

• Eye Centers of Louisville,PSC

  dba Bennett & Bloom Eye Centers

  • Ophthalmology Physician
  • Louisville, KY
  • NPI 1659385508
  Medicare reassignment Care Compare group NPD
• Distler, Huntington & Blair PSC

  dba Bluegrass Eye Center

  • Ophthalmology Physician
  • Crestwood, KY
  • NPI 1972652998
  Authorized official Same address or phone
• Eye Centers of Louisville,P.S.C.

  dba Bluegrass Surgery & Laser Center

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
  • NPI 1396763074
  NPD

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1417945478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 WESTWIND WAY",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400146773",
            "telephone_number": "502-243-2227",
            "fax_number": "502-243-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 WESTWIND WAY",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400146773",
            "telephone_number": "502-243-2227",
            "fax_number": "502-243-2237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 DuPont Cir Ste 380",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074881",
            "country_code": "US",
            "telephone_number": "502-895-0040",
            "fax_number": "502-214-3429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1935 Bluegrass Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402151181",
            "country_code": "US",
            "telephone_number": "502-364-0033",
            "fax_number": "502-361-4488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "BRYAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "35792",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "BB6817196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300050706",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64066624",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00041810",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME MAC",
            "identifier": "1177630003",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Be the Anchor Counseling, LLC
• Maria F Bechard, CCC-SLP
• Benchmark Physical Therapy of Ky, LLC
• Erin Renee Berg, M.S.,CCC-SLP
• Kristen Black, MSOT, OTR/L
• Mary Elizabeth Blondin, SLP
• Jennifer Bogard, LIC PSY PRACTITIONER
• Robert Brian Boggs, RPH
• Kari Marie Bradley, BCBA
• Christine H Brown, SLP

• Ophthalmology Physician in Crestwood, KY
• Providers in Crestwood, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.