Individual provider Active NPI

Myron Bryant, APRN, PMHNP-BC, LPC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pineville, LA
National Provider Identifier
1437454550
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP07931 Issued in LA
Practice address
2901 Highway 28 E
Suite E
Pineville, LA 71360-5773
Phone
(318) 704-6798
NPI assigned
Jan 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4157 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP07931 LA Primary

Addresses

Primary practice location

2901 Highway 28 E
Suite E
Pineville, LA 71360-5773

Mailing address

2901 Highway 28 E
Suite E
Pineville, LA 71360-5773
Phone (318) 704-6798

Other names 1

  • Myron Bryant Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20150107000038 LA Practitioner - Nurse Practitioner 6608047865 Reassigns benefits to 1 organization
Practice locations: Pineville, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4157LAMDProfessional Counselor
AP07931LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Regional Hospital, LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

44 Versailles Blvd
Alexandria, LA 71303
Phone (318) 441-0068

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

Organizations & group practices 1

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": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1437454550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 HIGHWAY 28 E",
            "address_2": "SUITE E",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605773",
            "telephone_number": "318-704-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 HIGHWAY 28 E",
            "address_2": "SUITE E",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605773",
            "telephone_number": "318-704-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "MYRON",
        "credential": "APRN, PMHNP-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-20",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4157",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP07931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRON",
            "last_name": "BRYANT",
            "credential": "APRN, PMHNP-BC, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.