Individual provider Active NPI

Edward Ransome Bryan IV, M.D.

  • Anesthesiology Physician
  • Arlington, TX
National Provider Identifier
1447418256
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M8562 Issued in TX
Practice address
2000 E Lamar Blvd
Suite 400
Arlington, TX 76006-7346
Phone
(682) 227-6839
Fax
(682) 227-6869
NPI assigned
May 29, 2008
Last updated
Nov 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X M8562 TX Primary

Addresses

Primary practice location

2000 E Lamar Blvd
Suite 400
Arlington, TX 76006-7346

Mailing address

2000 E Lamar Blvd
Suite 400
Arlington, TX 76006-7346
Phone (682) 227-6839

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20090730000122 TX Practitioner - Anesthesiology 2163575713 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at San Antonio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians

Practice addresses (Care Compare)

411 N Belknap St
Stephenville, TX 76401-3415
Phone (817) 861-3994

6200 W Parker Rd
Plano, TX 75093-7939
Phone (972) 608-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8562TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia III PA Anesthesiology CurrentSince May 23, 2022 Accepting new patients
Northstar Anesthesia II PA Anesthesiology CurrentSince Jan 1, 2018 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Oct 16, 2011 Accepting new patients
Weatherford Anesthesia Associates, PA Anesthesiology Past Accepting new patients

Locations

2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1447418256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E LAMAR BLVD",
            "address_2": "SUITE 400",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067346",
            "telephone_number": "682-227-6839",
            "fax_number": "682-227-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E LAMAR BLVD",
            "address_2": "SUITE 400",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067346",
            "telephone_number": "682-227-6839",
            "fax_number": "682-227-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "EDWARD",
        "middle_name": "RANSOME",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M8562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.