Individual provider Active NPI

Bryan Gaddy, M.D.

  • Psychiatry Physician
  • Pensacola, FL
National Provider Identifier
1689037285
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME176819 Issued in FL
Practice address
305 Corday St
Pensacola, FL 32503-2214
Phone
(850) 908-2315
Fax
(850) 908-2307
NPI assigned
Mar 31, 2016
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME176819 FL Primary

Addresses

Primary practice location

305 Corday St
Pensacola, FL 32503-2214

Mailing address

PO Box 95590
South Jordan, UT 84095-0590
Phone (801) 784-0954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, CA, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180920003009 MS Practitioner - Psychiatry 9133470768 Reassigns benefits to 1 organization
I20200708003193 CA Practitioner - Psychiatry 9133470768 Reassigns benefits to 2 organizations
I20260225000453 FL Practitioner - Psychiatry 9133470768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Mississippi School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of HumboldtGroup PAC ID 4082516950, 21 clinicians

Practice addresses (Care Compare)

720 Wood St
Eureka, CA 95501-4413
Phone (707) 441-5466

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME176819FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TBD Acquisition II, LLC CurrentSince May 3, 2021 Accepting new patients
County of Humboldt CurrentSince Sep 5, 2025 Accepting new patients
Baptist Medical Group LLC CurrentSince Jan 5, 2026 Accepting new patients
Siyan Clinical Corporation Psychiatry CurrentSince Jun 3, 2020 Accepting new patients
Baptist Medical Group LLC CurrentSince Jan 5, 2026 Accepting new patients
County of Humboldt CurrentSince Sep 5, 2025 Accepting new patients
TBD Acquisition II LLC Current Accepting new patients
County of Humboldt Current Accepting new patients

Locations

720 Wood St
Eureka, CA 95501
Phone (707) 268-2900

1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031

480 Tesconi Cir
Ste B
Santa Rosa, CA 95401
Phone (707) 206-7268

305 Corday St
Pensacola, FL 32503
Phone (448) 227-8478

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

11150 Highway 49
Gulfport, MS 39503
Phone (228) 575-1000

Organizations & group practices 8

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 1

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1689037285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950590",
            "telephone_number": "801-784-0954",
            "fax_number": "801-352-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CORDAY ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032214",
            "telephone_number": "850-908-2315",
            "fax_number": "850-908-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDY",
        "first_name": "BRYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME176819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.