Individual provider Active NPI

D'Orsay D Bryant III, M.D.

  • Orthopaedic Surgery Physician
  • El Dorado, AR
National Provider Identifier
1609813401
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
N8197 Issued in AR
Practice address
619 Thompson Ave
El Dorado, AR 71730-4557
Phone
(870) 863-3122
Fax
(870) 863-9377
NPI assigned
Jun 1, 2006
Last updated
Feb 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X N8197 AR Primary

Addresses

Primary practice location

619 Thompson Ave
El Dorado, AR 71730-4557

Mailing address

PO Box 295
Lockesburg, AR 71846-0295
Phone (870) 289-5865

Other identifiers 2

IdentifierTypeStateIssuer
13356000000OtherARQUALCHOICE
121852001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20051220000336 AR Practitioner - Orthopedic Surgery 7416979307 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N8197ARMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
D'Orsay D. Bryant, III, MD, PA Orthopaedic Surgery CurrentSince Aug 17, 1992 Accepting new patients
The El Dorado Ar Multispecialty ASC LLC Past Accepting new patients

Locations

619 Thompson Ave
El Dorado, AR 71730
Phone (870) 863-3122

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, 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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1609813401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "LOCKESBURG",
            "state": "AR",
            "postal_code": "718460295",
            "telephone_number": "870-289-5865",
            "fax_number": "870-289-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 THOMPSON AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304557",
            "telephone_number": "870-863-3122",
            "fax_number": "870-863-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "D'ORSAY",
        "middle_name": "D",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "N8197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "13356000000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121852001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.