NPIMap

Individual provider Active NPI

Sean Timothy Bryan, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Chalfont, PA
National Provider Identifier
1699760876
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
MD063399L Issued in PA
Practice address
1200 Manor Dr
Chalfont, PA 18914-2282
Phone
(800) 321-9999
NPI assigned
Sep 14, 2005
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 25MA10235500 NJ
Sports Medicine (Family Medicine) Physician 207QS0010X MD063399L PA Primary

Addresses

Primary practice location

1200 Manor Dr
Chalfont, PA 18914-2282

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (267) 592-6191

Other practice location 1

2400 Maryland Rd Ste 20
Willow Grove, PA 19090-1732
Phone (800) 321-9999

Other practice location 2

1327 Old York Rd
Abington, PA 19001-3403
Phone (800) 321-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170510000028 PA Practitioner - Family PracticePractitioner - Sports Medicine 7214937663 Reassigns benefits to 1 organization
I20180116000729 NJ Practitioner - Family PracticePractitioner - Sports Medicine 7214937663 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DRX Paramus, LLCGroup PAC ID 2466589585, 63 clinicians
Rehabclinics SPT IncGroup PAC ID 7113834102, shared by 20 NPIs, 101 clinicians

Practice addresses (Care Compare)

140 E Ridgewood Ave
175S
Paramus, NJ 07652-3917
Phone (212) 774-7598

15 E Midland Ave
Paramus, NJ 07652-2938
Phone (201) 599-8000

2001 College Dr
Suite 11
Clementon, NJ 08021-5617
Phone (856) 566-3333

4275 County Line Rd
Chalfont, PA 18914-2212
Phone (267) 952-8120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10235500NJMDSports Medicine (Family Medicine) Physician
MD063399LPAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Feb 1, 2025 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC Sports Medicine CurrentSince Dec 1, 2017 Accepting new patients
DRX Paramus, LLC CurrentSince Oct 13, 2024 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince May 1, 2017 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Dec 1, 2017 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Sports Medicine CurrentSince May 1, 2017 Accepting new patients
Ny Society for the Relief of Ruptured & Crippled Maintaining CurrentSince Jan 5, 2026 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

1410 Delsea Dr
Fl 2
Deptford, NJ 08096
Phone (856) 579-8897

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

999 Route 73 N
Ste 401
Marlton, NJ 08053
Phone (609) 617-3546

140 E Ridgewood Ave
#175S
Paramus, NJ 07652

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

510 Township Line Rd
Ste 110
Blue Bell, PA 19422
Phone (900) 321-9999

1200 Manor Dr
Chalfont, PA 18914
Phone (215) 830-8700

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

2400 Maryland Rd
Willow Grove, PA 19090
Phone (215) 659-4400

2400 Maryland Rd
Ste 20
Willow Grove, PA 19090
Phone (215) 830-8700

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: sbryan77258@direct.optum.com
  • Direct secure messaging: sean.bryan@rot.eclinicaldirectplus.com

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1699760876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "267-592-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MANOR DR",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189142282",
            "telephone_number": "800-321-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Maryland Rd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Willow Grove",
            "state": "PA",
            "postal_code": "190901732",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1327 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "PA",
            "postal_code": "190013403",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "SEAN",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA10235500",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD063399L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalfont, PA

Sources for this page

Verify at the official NPI Registry.