Active NPI
Tanya Elaine Bryant I, MD
- Pediatrics Physician
- Fresno, CA
National Provider Identifier
1497930119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C53527
- Practice address
- 2505 E Divisadero St
Fresno, CA 93721-1401 - Phone
- (559) 457-5500
- Fax
- (559) 457-5599
- NPI assigned
- Dec 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 15941 | SC | |
| Pediatrics Physician | 208000000X | 15941 | SC | |
| Pediatrics Physician | 208000000X | C53527 | CA | Primary |
Addresses
Primary practice location
2505 E Divisadero St
Fresno, CA 93721-1401
Mailing address
PO Box 1559
Bakersfield, CA 93302-1559
Phone (661) 635-3050
Other names 1
- Tanya Reid
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C53527 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Specialists | Allergy & Immunology | Past | Accepting new patients |
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.
-
- Allergy & Immunology Physician
- Columbia, SC
- NPI 1811969918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1497930119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933021559",
"telephone_number": "661-635-3050",
"fax_number": "661-369-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 E DIVISADERO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211401",
"telephone_number": "559-457-5500",
"fax_number": "559-457-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "TANYA",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-31",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "SC",
"license": "15941",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "15941",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C53527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TANYA",
"last_name": "REID",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.