NPIMap

Individual provider Active NPI

Bryan R. King, MD, PHD

  • Orthopaedic Surgery Physician
  • Northport, AL
National Provider Identifier
1700095346
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
28899 Issued in AL
Practice address
3515 Watermelon Rd
Northport, AL 35473-5174
Phone
(205) 722-5591
NPI assigned
May 21, 2007
Last updated
Feb 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 28899 AL Primary

Addresses

Primary practice location

3515 Watermelon Rd
Northport, AL 35473-5174

Mailing address

3515 Watermelon Rd
Northport, AL 35473-5174
Phone (205) 722-5591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120912000530 AL Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 6709034960 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
University of Michigan Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Rice Mine Rd Loop
Suite 205
Tuscaloosa, AL 35406-2419
Phone (205) 391-4440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement13
Knee replacement19
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tombigbee Healthcare Authority CurrentSince Apr 1, 2024 Accepting new patients
Southeastern Spine Specialists Inc Current Accepting new patients
Tuscaloosa Orthopedic & Joint Institute, LLC CurrentSince Apr 21, 2014 Accepting new patients
Tombigbee Healthcare Authority CurrentSince Apr 1, 2024 Accepting new patients
Tuscaloosa Surgical Center LP PastSince Jan 15, 2016 Accepting new patients

Locations

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

3515 Watermelon Rd
Northport, AL 35473
Phone (205) 366-0032

100 Rice Mine Road Loop
Ste 205
Tuscaloosa, AL 35406
Phone (205) 391-4440

1781 Commons North Loop
Tuscaloosa, AL 35406
Phone (205) 750-0447

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1700095346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 WATERMELON RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735174",
            "telephone_number": "205-722-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 WATERMELON RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735174",
            "telephone_number": "205-722-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "BRYAN",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "28899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.