Individual provider Active NPI

Cody Lee Bryant, DO

  • Emergency Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1609452135
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
V0699 Issued in TX
Practice address
3101 N Tarrant Pkwy
Fort Worth, TX 76177-8656
Phone
(817) 639-1000
NPI assigned
Mar 23, 2021
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X V0699 TX Primary

Addresses

Primary practice location

3101 N Tarrant Pkwy
Fort Worth, TX 76177-8656

Mailing address

3101 N Tarrant Pkwy
Fort Worth, TX 76177-8656
Phone (817) 639-1000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240711000797 TX Practitioner - Emergency Medicine 8527469139 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V0699TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jul 4, 2024 Accepting new patients
Questcare Medical Services PLLC Emergency Medicine CurrentSince Jun 8, 2024 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Jun 8, 2024 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jul 4, 2024 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine Current Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

3101 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 349-4663

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1609452135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N TARRANT PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778656",
            "telephone_number": "817-639-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N TARRANT PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778656",
            "telephone_number": "817-639-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "CODY",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "V0699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.