Bryant Alan King, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01061402A Issued in IN

Practice address

3436 Kenilworth Dr
Indianapolis, IN 46228-2703

Phone

(317) 757-9731

Fax

(317) 291-0640

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, KY, MI3 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 3

Specialty

Internal Medicine

Education

Tulane University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

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 and National Provider Directory roles.

• Hamiltion Inpatient Physicians, LLC

  • General Acute Care Hospital
  • Noblesville, IN
  • NPI 1891821591
  Medicare reassignment NPD
• Johnson Memorial Hospital

  • General Acute Care Hospital
  • Franklin, IN
  • NPI 1346248986
  Medicare reassignment NPD
• Mid West Hospital Physicians, PLLC

  • Hospitalist Physician
  • Princeton, IN
  • NPI 1700341872
  Medicare reassignment NPD
• New Albany Hospitalist Group, LLC

  • Hospitalist Physician
  • New Albany, IN
  • NPI 1255084752
  Medicare reassignment NPD
• Norton Clark Physician Practices, LLC

  • Internal Medicine Physician
  • Clarksville, IN
  • NPI 1083098651
  Medicare reassignment NPD
• Optimal Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Indianapolis, IN
  • NPI 1902415359
  Medicare reassignment NPD
• Inhospital Physicians Michigan PLLC

  • Internal Medicine Physician
  • Port Huron, MI
  • NPI 1427840586
  Medicare reassignment NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  Internal Medicine, KY

  Medicare reassignment NPD
• Pathways Community Clinic LLC

  • Clinic/Center
  • Indianapolis, IN
  • NPI 1194611665
  Medicare reassignment NPD (past)
• Johnson Memorial Hospital

  • Skilled Nursing Facility
  • Franklin, IN
  • NPI 1053301259
  NPD
• Creek Settlement Inpatient Services LLC

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1912295981
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1720010341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 KENILWORTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462282703",
            "telephone_number": "317-757-9731",
            "fax_number": "317-291-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 KENILWORTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462282703",
            "telephone_number": "317-757-9731",
            "fax_number": "317-291-0640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6925 Shore Ter",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462544675",
            "country_code": "US",
            "telephone_number": "317-757-9731",
            "fax_number": "317-291-0640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "BRYANT",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01061402A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01061402A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200545640",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Marisa King, LMHC
• Anitra S King
• Ashley Nicole King, RBT
• Audrianna Nicole King, M.A, BCBA
• Brandon King
• Catherine Scott King, M.D.
• Crystal King, PT
• Danelle Jean King, MSW, LCSW
• Devera King
• Donald G King, MD

• Internal Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.