Sullivan R Bryant, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E2992 Issued in TX

Practice address

3534 N Hampton Rd
Dallas, TX 75212

Phone

(214) 631-5234

Fax

(214) 631-7801

NPI assigned

Apr 6, 2006

Last updated

Sep 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, TN2 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 2

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Allen Speech & Psychological Services PC

  dba BHFS Medical and Behavioral Services

  • Family Medicine Physician
  • Burleson, TX
  • NPI 1497991590
  Medicare reassignment NPD
• Medical Experts of Texas, P.a.

  • Hospitalist Physician
  • Lewisville, TX
  • NPI 1730395989
  Medicare reassignment
• Finch Clinic, PLLC

  • Methadone Clinic
  • Denison, TX
  • NPI 1861941296
  NPD (past) Authorized official
• Cagnolatti and Henderson Inc.

  dba Lifes Second Chance Treatment Center North

  • Methadone Clinic
  • Dallas, TX
  • NPI 1609496488
  NPD
• Finch Clinic, PLLC.

  • Methadone Clinic
  • Denison, TX
  • NPI 1154953917
  NPD
• Allen Speech & Psychological Services PC

  dba BHFS Medical and Behavioral Services

  • Substance Abuse Rehabilitation Facility
  • Burleson, TX
  • NPI 1306299706
  NPD (past)
• Inspired Hope Group LLC

  • Addiction (Substance Use Disorder) Counselor
  • Mesquite, TX
  • NPI 1598133472
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1700848371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 N HAMPTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75212",
            "telephone_number": "214-631-5234",
            "fax_number": "214-631-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 N HAMPTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75212",
            "telephone_number": "214-631-5234",
            "fax_number": "214-631-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "SULLIVAN",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E2992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083894801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quinland Bryant
• Russell Alan Bryant, LCSW
• Sarah E Bryant, MS RD LD
• Sarah Elizabeth Bryant, HYGIENTIST
• Stefanie Nichole Bryant, M.D.
• Victoria T Bryant, QMHP
• William Matthew Bryant, AUD/F
• Winston Bryant
• Julia Claire Bryarly
• Meredith Anne Bryarly, M.D.

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.