Active NPI
Calvin Don Bryant, MD
- Family Medicine Physician
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8960
- Practice address
- 4144 Clemson Blvd
Anderson, SC 29621 - Phone
- (864) 224-9598
- Fax
- (864) 226-2462
- NPI assigned
- Jun 26, 2006
- Last updated
- Oct 22, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8960 | SC | Primary |
Addresses
Primary practice location
4144 Clemson Blvd
Anderson, SC 29621
Mailing address
4144 Clemson Blvd
Anderson, SC 29621
Phone (864) 224-9598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089601 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8960 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Associates, PC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- don.bryant@10528.chartlogic.direct-ci.com
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Primary Care Associates
- Family Medicine Physician
- Anderson, SC
- NPI 1578687281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1578590790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4144 CLEMSON BLVD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "29621",
"telephone_number": "864-224-9598",
"fax_number": "864-226-2462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4144 CLEMSON BLVD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "29621",
"telephone_number": "864-224-9598",
"fax_number": "864-226-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "CALVIN",
"middle_name": "DON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "8960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089601",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.