Individual provider Active NPI

David Bryan Engle, MD

  • Gynecologic Oncology Physician
  • Memphis, TN
National Provider Identifier
1487611760
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
38148 Issued in TN
Practice address
80 Humphreys Center Dr Ste 202
Memphis, TN 38120-2361
Phone
(901) 226-4280
Fax
(901) 226-4282
NPI assigned
Apr 28, 2006
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 30897 AL
Gynecologic Oncology Physician 207VX0201X 38148 TN Primary
Gynecologic Oncology Physician 207VX0201X 27477 MS
Gynecologic Oncology Physician 207VX0201X E-4079 AR

Addresses

Primary practice location

80 Humphreys Center Dr Ste 202
Memphis, TN 38120-2361

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other practice location 1

201 Sivley Rd SW
Suite 620
Huntsville, AL 35801-5134
Phone (256) 265-4600

Other practice location 2

4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (901) 226-4280

Other practice location 3

401 Southcrest Cir Ste 203
Southaven, MS 38671-6719
Phone (901) 226-4280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190325000115 TN Practitioner - Gynecological Oncology 2466430798 Reassigns benefits to 2 organizations
I20190408001644 AR Practitioner - Gynecological Oncology 2466430798 Reassigns benefits to 1 organization
I20210304001513 MS Practitioner - Gynecological Oncology 2466430798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 Baptist Blvd
Columbus, MS 39705-2006

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (901) 227-9820

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3882

6225 Humphreys Blvd
Memphis, TN 38120-2373
Phone (901) 227-9000

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2130

80 Humphreys Ctr Dr
Memphis, TN 38120-2361

PO Box
Suite 405827
Atlanta, GA 30384-5827

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of the uterus31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30897ALMDGynecologic Oncology Physician
E-4079ARMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital-Tipton CurrentSince Mar 30, 2022 Accepting new patients
Baptist Memorial Hospital-Desoto, Inc, CurrentSince Mar 30, 2022 Accepting new patients
Baptist Memorial Medical Group Inc Obstetrics & Gynecology CurrentSince Apr 1, 2019 Accepting new patients
Baptist Memorial Hospital-Tipton CurrentSince Mar 30, 2022 Accepting new patients
Baptist Memorial Hospital Union County, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Baptist Memorial Hospital-Desoto, Inc. CurrentSince Mar 30, 2022 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Apr 1, 2019 Accepting new patients
Baptist Memorial Hospital Past Accepting new patients

Locations

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

363 Southcrest Cir
Ste 101
Southaven, MS 38671
Phone (662) 349-0755

391 Southcrest Cir
Ste 101
Southaven, MS 38671
Phone (662) 349-0356

401 Southcrest Cir
Ste 203
Southaven, MS 38671
Phone (662) 775-4025

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

80 Humphreys Center Dr
Ste 202
Memphis, TN 38120
Phone (901) 226-4280

80 Humphreys Center Dr
Ste 330
Memphis, TN 38120
Phone (901) 752-6131

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

Interoperability endpoints

  • Direct secure messaging: dengle208326@direct.bmhcc.org
  • Direct secure messaging: dengle25049@mlh.direct-ci.com

Organizations & group practices 8

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 5

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1487611760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER DR STE 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202361",
            "telephone_number": "901-226-4280",
            "fax_number": "901-226-4282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Sivley Rd SW",
            "address_2": "Suite 620",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358015134",
            "country_code": "US",
            "telephone_number": "256-265-4600",
            "fax_number": "256-265-4651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4802 E Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724058413",
            "country_code": "US",
            "telephone_number": "901-226-4280",
            "fax_number": "901-226-4282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Southcrest Cir Ste 203",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386716719",
            "country_code": "US",
            "telephone_number": "901-226-4280",
            "fax_number": "901-226-4282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "DAVID",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "AL",
            "license": "30897",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TN",
            "license": "38148",
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MS",
            "license": "27477",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "AR",
            "license": "E-4079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.