Bryan Hale Merrick, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD15682 Issued in TN

Practice address

205 Hospital Dr
Ste a
MC Kenzie, TN 38201-1649

Phone

(731) 352-7907

Fax

(731) 352-4459

NPI assigned

May 24, 2005

Last updated

Mar 1, 2019By 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 3

Medicare fee-for-service enrollment

Enrolled in TN

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

Internal Medicine

Education

University of Tennessee, HSC, College of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McKenzie Medical Center PCGroup PAC ID 2365427853, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Home Care Home health agency, Huntingdon, TN, CCN 447444
• Amedisys Home Health Care Home health agency, Jackson, TN, CCN 447278
• Baptist Memorial Hospital - Carroll County Hospital, Huntingdon, TN, CCN 440016
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
• West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132
• Ahc McKenzie Nursing home, MC Kenzie, TN, CCN 445429
• Life Care Center of Bruceton-Hollow Rock Nursing home, Bruceton, TN, CCN 445326

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• McKenzie Medical Center PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • McKenzie, TN
  • NPI 1023611241

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• McKenzie Medical Center PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • Huntingdon, TN
  • NPI 1144816901

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• McKenzie Medical Center PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • Bruceton, TN
  • NPI 1245401231

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• McKenzie Medical Center PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • McKenzie, TN
  • NPI 1477516953

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• McKenzie Medical Center PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • Greenfield, TN
  • NPI 1932084274

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership
• McKenzie Medical Center, PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • Gleason, TN
  • NPI 1225083991

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• McKenzie Medical Center, PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • Camden, TN
  • NPI 1376188045

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• McKenzie Medical Center, PC

  dba Hometown Health Clinic Greenfield

  • Rural Health Clinic/Center
  • Greenfield, TN
  • NPI 1437040128

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership
• McKenzie Medical Center, PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • Dresden, TN
  • NPI 1609101534

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• McKenzie Medical Center PC

  dba Hometown Health Clinic

  • Clinic/Center
  • McKenzie, TN
  • NPI 1700534229

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• McKenzie Medical Center PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • McKenzie, TN
  • NPI 1477516953

  Internal Medicine

  NPD
• McKenzie Medical Center PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • Greenfield, TN
  • NPI 1932084274
  NPD
• McKenzie Healthcare and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • McKenzie, TN
  • NPI 1457316887
  NPD (past)
• Milford Medical Investors Limited Partnership

  dba Life Care Center of Bruceton-Hollow Rock

  • Skilled Nursing Facility
  • Bruceton, TN
  • NPI 1215971064
  NPD (past)

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

• Baptist Memorial Hospital-Huntingdon

  dba Baptist Memorial Hospital - Carroll County

  • General Acute Care Hospital
  • Huntingdon, TN
  • NPI 1710941356
  Care Compare affiliation
• HHC, LLC

  dba Amedisys Home Health Care

  • Home Health Agency
  • Jackson, TN
  • NPI 1851349559
  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• LHCG Xciv, LLC

  dba Baptist Memorial Home Care & Hospice

  • Home Health Agency
  • Huntingdon, TN
  • NPI 1568997252
  Care Compare affiliation
• McKenzie Healthcare and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • McKenzie, TN
  • NPI 1457316887

  Nursing home

  Care Compare affiliation
• Milford Medical Investors Limited Partnership

  dba Life Care Center of Bruceton-Hollow Rock

  • Skilled Nursing Facility
  • Bruceton, TN
  • NPI 1215971064

  Nursing home

  Care Compare affiliation
• West Tennessee Healthcare Henry County

  dba West Tennessee Healthcare County Hospital

  • General Acute Care Hospital
  • Paris, TN
  • NPI 1497750244
  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1467455287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HOSPITAL DR",
            "address_2": "STE A",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011649",
            "telephone_number": "731-352-7907",
            "fax_number": "731-352-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HOSPITAL DR",
            "address_2": "STE A",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011649",
            "telephone_number": "731-352-7907",
            "fax_number": "731-352-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICK",
        "first_name": "BRYAN",
        "middle_name": "HALE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD15682",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "TN",
            "license": "MD15682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3380640",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "MD15682",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3011498",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKenzie Tennessee Hospital Company LLC (McKenzie Regional Hospital)
• McKenzie Tennessee Hospital Company LLC (McKenzie Regional Hospital)
• Brianna Douglas McKinney, PHARMD
• Med-Trans Corporation
• Heather Anne Melton, MD
• William Boothe Merrick, DO
• Allan J Moede, M.D.
• James O Morgan, M.D.
• Christie Mort
• John E Motheral, D.PH.

• Internal Medicine Physician in McKenzie, TN
• Providers in McKenzie, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.