Individual provider Active NPI

Kadi-Ann Bryan, MD

  • Urology Physician
  • Corvallis, OR
National Provider Identifier
1659530442
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD164200 Issued in OR
Practice address
990 NW Circle Blvd Ste 102
Corvallis, OR 97330-1967
Phone
(541) 768-5486
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD164200 OR Primary

Addresses

Primary practice location

990 NW Circle Blvd Ste 102
Corvallis, OR 97330-1967

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

1698 E McAndrews Rd Ste 280
Medford, OR 97504-5590
Phone (541) 774-5808

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbryan319831@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20130827000953 OR Practitioner - Urology 9335382092 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Duke University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Medical Group Inc 60 clinicians
Good Samaritan Hospital Corvallis 372 clinicians
Good Shepherd Health Care System 125 clinicians
Salem Health 470 clinicians

Practice addresses (Care Compare)

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 677-2452

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

600 NW 11TH St
Suite E37
Hermiston, OR 97838-8604
Phone (541) 667-3400

890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200

990 NW Circle Blvd
Corvallis, OR 97330-1967

Hospital & facility affiliations

  • Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014
  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027
  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325
  • Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022
  • Samaritan Lebanon Community Hospital Hospital, Lebanon, OR, CCN 381323

Merit-based Incentive Payment System (MIPS)

Final score
83.92 of 100Reported as individual
Quality
76.92
Improvement activities
40
Cost
77.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital CurrentSince Mar 14, 2025 Accepting new patients
Good Shepherd Health Care System CurrentSince Oct 1, 2024 Accepting new patients
Salem Health CurrentSince Dec 26, 2024 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Albany General Hospital Current Accepting new patients
Rogue Valley Urology, PC Urology CurrentSince Aug 8, 2013 Accepting new patients
Centennial Medical Group Inc. Urology CurrentSince Feb 1, 2025 Accepting new patients
Salem Health CurrentSince Dec 26, 2024 Accepting new patients
Good Shepherd Health Care System CurrentSince Oct 1, 2024 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Mar 14, 2025 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Mar 14, 2025 Accepting new patients
Albany General Hospital CurrentSince Mar 14, 2025 Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

990 NW Circle Blvd
Ste 102
Corvallis, OR 97330
Phone (541) 768-5486

600 NW 11th St
Ste E10
Hermiston, OR 97838
Phone (541) 667-2420

620 NW 11th St
Ste M202
Hermiston, OR 97838
Phone (541) 667-3804

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

1698 E McAndrews Rd
Ste 280
Medford, OR 97504
Phone (541) 204-1699

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

201 NW Medical Loop
Ste 190
Roseburg, OR 97471
Phone (541) 644-4319

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

Hospital & facility affiliations 55

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1659530442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 NW CIRCLE BLVD STE 102",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301967",
            "telephone_number": "541-768-5486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1698 E McAndrews Rd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975045590",
            "country_code": "US",
            "telephone_number": "541-774-5808",
            "fax_number": "541-732-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "KADI-ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD164200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbryan319831@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "990 NW Circle Blvd Ste 102",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973301967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.