Active NPI
Natalie Gayle Bryant, NP
- Women's Health Nurse Practitioner
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 853818
- Practice address
- 928 N Glenwood Blvd
Tyler, TX 75702 - Phone
- (903) 535-9041
- NPI assigned
- Aug 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP125713 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | RN152834 | GA | |
| Women's Health Nurse Practitioner | 363LW0102X | 853818 | TX | Primary |
Addresses
Primary practice location
928 N Glenwood Blvd
Tyler, TX 75702
Mailing address
PO Box 844273
Dallas, TX 75284-4273
Phone (903) 535-9041
Other practice location 1
620 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-4900
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45-2578435-001 | Other | TX | TRICARE |
| 693446 | Other | TX | MEDICARE |
| 45-2578435-006 | Other | TX | TRICARE |
| 8JM919 | Other | TX | BCBS |
| 335762602 | Medicaid | TX | |
| 8917NK | Other | TX | BCBS |
| 335762601 | Medicaid | TX | |
| 45-2578435-002 | Other | TX | TRICARE |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 853818 | TX | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Mother Frances Hospital Jacksonville | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Tyler Family Circle of Care | Past | Accepting new patients | |
| Medical Associates of Albany, PC | Past | Accepting new patients | |
| Family First Medical Associates PC | Past | Accepting new patients |
Locations
928 N Glenwood Blvd
Tyler, TX 75702
Phone (903) 533-7400
1720 S Beckham Ave
Ste 104
Tyler, TX 75701
Phone (903) 597-2002
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
620 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-1193
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Interoperability endpoints
- nbryant100585@christushealth.direct-ci.net
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Community/Retail Pharmacy
- Tyler, TX
- NPI 1942011903
-
- Clinic/Center
- Albany, GA
- NPI 1447354642
-
- Family Medicine Physician
- Albany, GA
- NPI 1710389440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1497948129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844273",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844273",
"telephone_number": "903-535-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 N GLENWOOD BLVD",
"city": "TYLER",
"state": "TX",
"postal_code": "75702",
"telephone_number": "903-535-9041"
}
],
"practiceLocations": [
{
"address_1": "620 S Fleishel Ave",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012041",
"country_code": "US",
"telephone_number": "903-606-4900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYANT",
"first_name": "NATALIE",
"middle_name": "GAYLE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP125713",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN152834",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "853818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "45-2578435-001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "693446",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "45-2578435-006",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8JM919",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "335762602",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8917NK",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "335762601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "45-2578435-002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.