NPIMap

Individual provider Active NPI

Matthew Earle Bryant, M.D.

  • Family Medicine Physician
  • Lexington, VA
National Provider Identifier
1710242219
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101255862 Issued in 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
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101255862 VA Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address mbryant16242@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190702003067 VA Practitioner - Family Practice 1658699657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101255862VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Rockbridge Community Hospital CurrentSince Jul 22, 2019 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

18080 Main St
Buchanan, VA 24066
Phone (540) 254-1239

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

146 S Main St
Ste 3
Lexington, VA 24450
Phone (540) 463-9158

Interoperability endpoints

  • Direct secure messaging: mbryant16242@direct.carilionclinic.org

Organizations & group practices 3

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 11

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": "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

Sources for this page

Verify at the official NPI Registry.