David J Bryant, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA91117347 Issued in FL

Practice address

1865 Lime St Ste 101
Fernandina Beach, FL 32034-4779

Phone

(904) 634-0640

Fax

(904) 634-0203

NPI assigned

Oct 22, 2018

Last updated

Sep 1, 2022By 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 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians

Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Jacksonville, FL, CCN 109742
• Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.bryant.1@25110.direct.athenahealth.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.

• Physicians Group Services PA

  dba Coastal Health

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1861440810

  Physician Assistant

  Medicare reassignment Care Compare group NPD (past)
• Physicians Group Services PA

  dba Coastal Health

  • Family Medicine Physician
  • Fleming Island, FL
  • NPI 1699138362
  NPD
• Physicians Group Services PA

  dba Coastal Health

  • Durable Medical Equipment & Medical Supplies
  • Middleburg, FL
  • NPI 1699170035

  Physician Assistant

  NPD
• Physicians Group Services PA

  dba Coastal Health

  • Physical Medicine & Rehabilitation Physician
  • Orange Park, FL
  • NPI 1528371051
  NPD (past)

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

• Accessrehab LLC

  dba Concierge Home Care

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1891932463
  Care Compare affiliation
• Baptist Medical Center of Nassau Inc

  dba Baptist Medical Center Nassau

  • General Acute Care Hospital
  • Fernandina Beach, FL
  • NPI 1518024462
  Care Compare affiliation

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1427524008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WELLS RD STE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732982",
            "telephone_number": "904-282-6331",
            "fax_number": "904-619-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 LIME ST STE 101",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344779",
            "telephone_number": "904-634-0640",
            "fax_number": "904-634-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA91117347",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9111734",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA",
            "identifier": "PA9111734",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlesetta Nicole Brown, APRN
• Mark A Brown, DC
• Bruce S. West
• Jessica Anne Bruland, APRN
• George Brummer
• Amy Bui
• Bundle of Joy Birth & Wellness Center
• Gerald Bowden Burford, M.D.
• Catherine Burke, APRN
• Sharon Ann Burke, ARNP

• Physician Assistant in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.