Matthew Earle Bryant, M.D.
Individual provider Active NPI Family Medicine Physician · Lexington, VA
NPI 1710242219 · NPPES record last updated Dec 10, 2020
Key facts
- NPI
- 1710242219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101255862 (VA)
- Practice address
- 146 S Main St Ste 3
Lexington, VA 24450 - Phone
- (540) 463-9158
- Fax
- (540) 463-4218
- NPI assigned
- Jul 10, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Virginia School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carilion Rockbridge Community Hospital
Practice addresses (Care Compare)
18080 Main St
Buchanan, VA 24066-5482
Phone (540) 254-1239
2252 Magnolia Ave
Buena Vista, VA 24416-3122
Phone (540) 261-7421
Hospital & facility affiliations
- Amedisys Home Health Care
- Amedisys Home Health Care
- Carilion Home Care Services - Roanoke
- Centerwell Home Health
- Connectionsplus Healthcare + Hospice
- Carilion Stonewall Jackson Hospital
- Carilion Medical Center
- Augusta Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190702003067 | VA | Practitioner - Family Practice | 1658699657 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101255862 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Rockbridge Community Hospital | Current |
Accepting new patients | |
| Carilion Medical Center | Past | Accepting new patients |
Locations
18080 Main St
Buchanan, VA 24066
Phone (540) 254-1239
146 S Main St
Ste 3
Lexington, VA 24450
Phone (540) 463-9158
1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300
Interoperability endpoints
- mbryant16242@direct.carilionclinic.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101255862 | VA | Yes |
Addresses
Primary practice location
146 S Main St Ste 3
Lexington, VA 24450
Mailing address
146 S Main St Ste 3
Lexington, VA 24450-2356
Phone (540) 463-9158
Other practice location 1
11050 Mount Belvedere Blvd
Fort Drum, NY 13602
Phone (315) 772-7216
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbryant16242@direct.carilionclinic.org | Direct |
NPI Registry JSON
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1710242219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 S MAIN ST STE 3",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "244502356",
"telephone_number": "540-463-9158",
"fax_number": "540-463-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 S MAIN ST STE 3",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "24450",
"telephone_number": "540-463-9158",
"fax_number": "540-463-4218"
}
],
"practiceLocations": [
{
"address_1": "11050 Mount Belvedere Blvd",
"address_purpose": "LOCATION",
"city": "Fort Drum",
"state": "NY",
"postal_code": "13602",
"country_code": "US",
"telephone_number": "315-772-7216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYANT",
"first_name": "MATTHEW",
"middle_name": "EARLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101255862",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbryant16242@direct.carilionclinic.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mbryant16242@direct.carilionclinic.org",
"address_1": "146 S Main St Ste 3",
"city": "Lexington",
"state": "VA",
"country_code": "US",
"postal_code": "24450",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lexington, VA
- Utsav Brahmbhatt
- Brooke Breeden
- Tiffany Michelle Brooks
- Andrew Jacob Brown
- Kelsey Brown
- Teresa Elaine Bsullak
- Kaley Burgess
- Chad Burton
- Kelley Lynn Busam
- Brianna Elizabeth Byerley
All providers in Lexington, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.