NPIMap

Individual provider Active NPI

Bryan James Krull, DO

  • Nephrology Physician
  • Brunswick, GA
National Provider Identifier
1649296682
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
81198 Issued in GA
Practice address
3025 Shrine Rd Ste 450
Brunswick, GA 31520
Phone
(912) 264-6133
Fax
(912) 267-1915
NPI assigned
Jul 14, 2006
Last updated
Jan 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 81198 GA Primary

Addresses

Primary practice location

3025 Shrine Rd Ste 450
Brunswick, GA 31520

Mailing address

3025 Shrine Rd Ste 450
Brunswick, GA 31520-4787
Phone (912) 264-6133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180910001068 GA Practitioner - Nephrology 1456357482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3025 Shrine Rd
Suite 450
Brunswick, GA 31520-4787
Phone (912) 264-6133

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81198GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshes Medical Diagnostic Clinic, PC Nephrology Current Accepting new patients
Nephrology and Hypertension Medical Associates PC Nephrology Current Accepting new patients
Nephrology and Hypertension Medical Associates PC Nephrology CurrentSince Sep 1, 2018 Accepting new patients
Nephrology and Hypertension Medical Associates PC CurrentSince Sep 1, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

539 Fair St
Baxley, GA 31513
Phone (912) 366-0202

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2930 Springdale Rd
Brunswick, GA 31520
Phone (912) 267-1507

3025 Shrine Rd
Ste 450
Brunswick, GA 31520
Phone (912) 264-4613

3150 Glynn Ave
Brunswick, GA 31520
Phone (912) 261-4997

475 Gateway Center Blvd
Brunswick, GA 31525
Phone (912) 265-0533

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

2040 Dan Proctor Dr
Ste 230
Saint Marys, GA 31558
Phone (912) 576-6391

1115 Lexington Ave
Savannah, GA 31404
Phone (912) 354-4813

308 Carswell Ave
Waycross, GA 31501
Phone (912) 285-1663

Interoperability endpoints

  • Direct secure messaging: bryankrull@nhma.allscriptsdirect.net

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.

Hospital & facility affiliations 7

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1649296682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 450",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204787",
            "telephone_number": "912-264-6133",
            "fax_number": "912-354-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 450",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31520",
            "telephone_number": "912-264-6133",
            "fax_number": "912-267-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRULL",
        "first_name": "BRYAN",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "81198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.