Individual provider Active NPI

Quinland Bryant

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1699358234
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
815047 Issued in TX
Practice address
9507 Rutherglen Dr
Dallas, TX 75227-4738
Phone
(214) 893-3669
NPI assigned
May 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 815047 TX Primary

Addresses

Primary practice location

9507 Rutherglen Dr
Dallas, TX 75227-4738

Mailing address

9507 Rutherglen Dr
Dallas, TX 75227-4738
Phone (214) 893-3669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220125000705 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870990757 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
R Franklin University of Med & Sci/Chicago Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Brook Anesthesiologists LTDGroup PAC ID 3870554298, 20 clinicians
Town Square Anesthesia LLCGroup PAC ID 9335047455, 21 clinicians

Practice addresses (Care Compare)

1800 McDonough Rd
Suite 100
Hoffman Estates, IL 60192-4524
Phone (847) 742-7272

5645 W Addison St
Chicago, IL 60634-4403
Phone (773) 282-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
815047TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Brook Anesthesiologists, LTD. CurrentSince Jul 7, 2022 Accepting new patients
Huntley Anesthesia Associates LLC CurrentSince Feb 1, 2022 Accepting new patients
Town Square Anesthesia LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

1580 W Lake St
Ste 100
Addison, IL 60101
Phone (630) 285-7000

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

999 E Touhy Ave
Ste 350
Des Plaines, IL 60018
Phone (224) 725-5850

1800 McDonough Rd
Ste 100
Hoffman Estates, IL 60192
Phone (630) 928-1103

10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

2425 W 22nd St
Ste 101
Oak Brook, IL 60523
Phone (630) 312-5000

3703 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1699358234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9507 RUTHERGLEN DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752274738",
            "telephone_number": "214-893-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9507 RUTHERGLEN DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752274738",
            "telephone_number": "214-893-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "QUINLAND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-10-26",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "815047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.