Individual provider Active NPI

Bryant Thomas Conger Jr., M.D.

  • Otolaryngology Physician
  • Roswell, GA
National Provider Identifier
1538320809
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
69391 Issued in GA
Practice address
2500 Hospital Blvd
Ste 450
Roswell, GA 30076-4907
Phone
(770) 343-8675
Fax
(770) 343-8773
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 69391 GA Primary

Addresses

Primary practice location

2500 Hospital Blvd
Ste 450
Roswell, GA 30076-4907

Mailing address

2500 Hospital Blvd
Ste 450
Roswell, GA 30076-4907
Phone (770) 343-8675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20130507000563 GA Practitioner - Otolaryngology 1658517453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical College of Georgia School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Fulton Ear Nose and Throat Associates, P.C.Group PAC ID 8022184415, 6 clinicians

Practice addresses (Care Compare)

2500 Hospital Blvd
Roswell, GA 30076-4919
Phone (770) 343-8675

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.16 of 100Reported as individual
Quality
84.32
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69391GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Fulton Ear Nose and Throat Associates, P.C. Specialist CurrentSince Jun 8, 2013 Accepting new patients

Locations

950 Sanders Rd
Cumming, GA 30041
Phone (678) 455-6273

2500 Hospital Blvd
Roswell, GA 30076
Phone (770) 475-3085

2500 Hospital Blvd
Ste 450
Roswell, GA 30076
Phone (770) 343-8675

Interoperability endpoints

  • Direct secure messaging: bconger64615@choa.gadirect.net
  • Direct secure messaging: bconger@northfultonent.emadirect.md

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.

Hospital & facility affiliations 4

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1538320809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD",
            "address_2": "STE 450",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764907",
            "telephone_number": "770-343-8675",
            "fax_number": "770-343-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD",
            "address_2": "STE 450",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764907",
            "telephone_number": "770-343-8675",
            "fax_number": "770-343-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONGER",
        "first_name": "BRYANT",
        "middle_name": "THOMAS",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "69391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.