Individual provider Active NPI

Bryant Zollinger Loosle

  • Anesthesiology Physician
  • Temple, TX
National Provider Identifier
1629572631
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
S8603 Issued in TX
Practice address
546 N Kegley Rd
Temple, TX 76502-4069
Phone
(254) 215-0900
Fax
(254) 724-1667
NPI assigned
Mar 23, 2018
Last updated
Dec 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X S8603 TX Primary

Addresses

Primary practice location

546 N Kegley Rd
Temple, TX 76502-4069

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bloosle279512@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20220812001753 MO Practitioner - Anesthesiology 1850648213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozark Anesthesia Associates IncGroup PAC ID 1850290149, 86 clinicians

Practice addresses (Care Compare)

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for a Healthy Community, Inc CurrentSince May 6, 2024 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince May 6, 2024 Accepting new patients
Ozark Anesthesia Associates, Inc. Anesthesiology CurrentSince Jul 25, 2022 Accepting new patients

Locations

1000 E Primrose St
Ste 520
Springfield, MO 65807
Phone (417) 269-4557

1720 W Grand St
Ste B
Springfield, MO 65802
Phone (417) 851-1625

3535 S National Ave
Springfield, MO 65807
Phone (417) 269-9800

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

Organizations & group practices 3

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.

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1629572631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 N KEGLEY RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765024069",
            "telephone_number": "254-215-0900",
            "fax_number": "254-724-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOSLE",
        "first_name": "BRYANT",
        "middle_name": "ZOLLINGER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "S8603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bloosle279512@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "546 N Kegley Rd",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765024069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.