NPIMap

Individual provider Active NPI

Bryant Self, D.O.

  • Cardiovascular Disease Physician
  • Roanoke, VA
National Provider Identifier
1437576352
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0102204394 Issued in VA
Practice address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone
(800) 422-8482
NPI assigned
Mar 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102204394 VA
Interventional Cardiology Physician 207RI0011X 0102204394 VA
Cardiovascular Disease Physician 207RC0000X 0102204394 VA Primary

Addresses

Primary practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

213 S Jefferson St
Roanoke, VA 24011-1705
Phone (540) 224-5715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170801000913 VA Practitioner - Internal Medicine 2769602408 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians
Carilion Franklin Memorial HospitalGroup PAC ID 3173501269, 6 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

1107 A Brookdale St
Martinsville, VA 24112-4501
Phone (276) 670-3300

150 Market Ridge LN
Daleville, VA 24083-3258
Phone (540) 966-0400

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 982-8204

1935 W Main St
Salem, VA 24153-3109
Phone (540) 387-0441

1955 W Main St
Salem, VA 24153-3109
Phone (540) 387-0441

2001 Crystal Spring Ave
Suite 205
Roanoke, VA 24014-2462
Phone (540) 985-8505

6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110

Hospital & facility affiliations

  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042
  • Carilion Franklin Memorial Hospital Hospital, Rocky Mount, VA, CCN 490089
  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048
  • Carilion Stonewall Jackson Hospital Hospital, Lexington, VA, CCN 491304

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Giles Community Hospital CurrentSince Nov 1, 2023 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Jul 20, 2020 Accepting new patients
Carilion Franklin Memorial Hospital Cardiovascular Disease CurrentSince Nov 4, 2023 Accepting new patients
Carilion Franklin Memorial Hospital CurrentSince Nov 4, 2023 Accepting new patients
Carilion Medical Center CurrentSince Jul 20, 2020 Accepting new patients
Carilion Giles Community Hospital CurrentSince Nov 1, 2023 Accepting new patients
Carilion Healthcare Corporation CurrentSince May 5, 2024 Accepting new patients
Carilion Medical Center CurrentSince Jul 20, 2020 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Nov 4, 2023 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Jul 20, 2020 Accepting new patients
Carilion Healthcare Corporation CurrentSince May 5, 2024 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

1107A Brookdale St
Martinsville, VA 24112
Phone (276) 634-0379

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

213 S Jefferson St
Roanoke, VA 24011

2001 Crystal Spring Ave SW
Ste 203
Roanoke, VA 24014
Phone (540) 853-0755

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

2001 Crystal Spring Ave SW
Ste 205
Roanoke, VA 24014
Phone (540) 985-8505

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

1935 W Main St
Salem, VA 24153
Phone (540) 302-0190

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

388 Ben Bolt Ave
Tazewell, VA 24651
Phone (276) 988-2506

Interoperability endpoints

  • Direct secure messaging: bself56958@direct.carilionclinic.org

Organizations & group practices 43

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.

View all 43

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": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1437576352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111705",
            "telephone_number": "540-224-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "800-422-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "BRYANT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102204394",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0102204394",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0102204394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.