Active NPI
Donald K Bryan, M.D.
- Specialist
- Columbus, OH
National Provider Identifier
1528156700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35030277
- Practice address
- 1315 W Lane Ave
Suite D
Columbus, OH 43221-3538 - Phone
- (614) 457-4827
- Fax
- (614) 457-4932
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35030277 | OH | Primary |
Addresses
Primary practice location
1315 W Lane Ave
Suite D
Columbus, OH 43221-3538
Mailing address
1315 W Lane Ave
Suite D
Columbus, OH 43221-3538
Phone (614) 457-4827
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201308320027 | Other | OH | CARESOURCE |
| 4125132 | Other | OH | MEDICARE PTAN |
| 000000376721 | Other | OH | ANTHEM |
| 0177026 | Medicaid | OH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | 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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1528156700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 W LANE AVE",
"address_2": "SUITE D",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432213538",
"telephone_number": "614-457-4827",
"fax_number": "614-457-4932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 W LANE AVE",
"address_2": "SUITE D",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432213538",
"telephone_number": "614-457-4827",
"fax_number": "614-457-4932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "DONALD",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35030277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "201308320027",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "4125132",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000376721",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0177026",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.