Individual provider Active NPI

Daniel Adam Bryden, D.O.

  • Surgery Physician
  • Watertown, NY
National Provider Identifier
1578886933
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
277947 Issued in NY
Practice address
428 Washington St. Suite 1
Samaritan Medical Practice General Surgery
Watertown, NY 13601
Phone
(315) 782-1505
NPI assigned
Mar 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 277947 NY Primary

Addresses

Primary practice location

428 Washington St. Suite 1
Samaritan Medical Practice General Surgery
Watertown, NY 13601

Mailing address

428 Washington St. Suite 1
Samaritan Medical Practice General Surgery
Watertown, NY 13601
Phone (315) 782-1505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150710001590 NY Practitioner - General Surgery 6709017957 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277947NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Medical Practice, PC Surgery CurrentSince Aug 1, 2015 Accepting new patients
Alvin Maloney, M.D. Surgery Past Accepting new patients

Locations

826 Washington St
Ste 106
Watertown, NY 13601
Phone (315) 782-1505

428 Washington St
Ste 1
Watertown, NY 13601
Phone (315) 782-1505

428 Washington St
Watertown, NY 13601
Phone (315) 782-5008

629 Washington St
Watertown, NY 13601
Phone (315) 755-3650

Interoperability endpoints

  • Direct secure messaging: dbryden@samaritanmedicalpractice.medentdirect.com

Organizations & group practices 2

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Medical Practice PC 29 clinicians

Practice addresses (Care Compare)

629 Washington St
Watertown, NY 13601-4836
Phone (315) 755-3650

826 Washington St
Suite 106
Watertown, NY 13601-4071
Phone (315) 782-1505

Hospital & facility affiliations

  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy75
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux22
Melanoma (skin cancer) excision11
Skin biopsy1-10

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1578886933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 WASHINGTON ST. SUITE 1",
            "address_2": "SAMARITAN MEDICAL PRACTICE GENERAL SURGERY",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-782-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 WASHINGTON ST. SUITE 1",
            "address_2": "SAMARITAN MEDICAL PRACTICE GENERAL SURGERY",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-782-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYDEN",
        "first_name": "DANIEL",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "277947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.