Individual provider Active NPI

Jennifer Ann Adams Bryan, MD

  • Emergency Medicine Physician
  • Sebastian, FL
National Provider Identifier
1609815190
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME94013 Issued in FL
Practice address
13695 US Highway 1
Sebastian, FL 32958-5403
Phone
(772) 589-3186
Fax
(561) 388-3689
NPI assigned
Jun 6, 2006
Last updated
Nov 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 36006 TN
Emergency Medicine Physician 207P00000X ME94013 FL Primary

Addresses

Primary practice location

13695 US Highway 1
Sebastian, FL 32958-5403

Mailing address

200 Corporate Blvd
Lafayette, LA 70508
Phone (800) 893-9698

Other practice location 1

1201 Bishop St
Union City, TN 38261-5403
Phone (731) 885-2410

Other identifiers 4

IdentifierTypeStateIssuer
3332827MedicaidTN
4108165OtherTNBCBS
64109127MedicaidKY
P00255397OtherTNRAILROAD MEDICARE

Other names 1

  • Dr. Jennifer Ann Adams Bryan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, MS, ID4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20090403000481 FL Practitioner - Emergency Medicine 3072418326 Reassigns benefits to 4 organizations
I20140129001690 TX Practitioner - Family Practice 3072418326 Reassigns benefits to 2 organizations
I20140306001058 MS Practitioner - Emergency Medicine 3072418326 Reassigns benefits to 1 organization
I20260615003715 ID Practitioner - Emergency Medicine 3072418326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Tennessee, HSC, College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 8007
Moscow, ID 83843

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Aug 6, 2023 Accepting new patients
Mississippi Band of Choctaw Indians CurrentSince Oct 9, 2013 Accepting new patients
Mississippi Band of Choctaw Indians CurrentSince Oct 9, 2013 Accepting new patients
Mid-Florida Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 14, 2019 Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Jun 13, 2018 Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Mar 17, 2023 Accepting new patients
Melbourne Emergency Group, LLC Emergency Medicine CurrentSince Aug 16, 2019 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Decatur County General Hospital Past Accepting new patients
Beechlake Emergency Physicians Emergency Medicine Past Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients
Mt. Pelia Emergency Physicians Emergency Medicine Past Accepting new patients
Hub City Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

200 Corporate Blvd
Lafayette, LA 70508

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

210 Hospital Cir
Choctaw, MS 39350
Phone (601) 389-4500

Interoperability endpoints

  • Direct secure messaging: jbryan50@yourcarecommunity.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1609815190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13695 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329585403",
            "telephone_number": "772-589-3186",
            "fax_number": "561-388-3689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Bishop St",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "TN",
            "postal_code": "382615403",
            "country_code": "US",
            "telephone_number": "731-885-2410",
            "fax_number": "865-291-3228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "JENNIFER",
        "middle_name": "ANN ADAMS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "36006",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME94013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3332827",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4108165",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64109127",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00255397",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ADAMS BRYAN",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.