NPIMap

Clay Dean Bryant

Individual provider Active NPI Nurse Practitioner · Ruston, LA

NPI 1730801754 · NPPES record last updated Sep 15, 2022

Key facts

NPI
1730801754
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
227362 (LA)
Practice address
401 E Vaughn Ave
Ruston, LA 71270-5950
Phone
(318) 254-2100
NPI assigned
Sep 15, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 17

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Ward 3 4 and 10 Hospital Service District of Parish of Union (14 clinicians)
Northern Louisiana Emergency Physicians, LLP (28 clinicians)
Homer Memorial Hospital (22 clinicians)

Practice addresses (Care Compare)

100 Medical Park Dr
Bernice, LA 71222-0302
Phone (318) 285-7777

401 E Vaughn Ave
Ruston, LA 71270-5950
Phone (318) 254-2100

409 1St St
Bernice, LA 71222-4001

620 E College St
Homer, LA 71040-3202
Phone (318) 927-2024

PO Box
Suite 697
Bernice, LA 71222

Hospital & facility affiliations

  • Claiborne Memorial Medical Center Hospital · Homer, LA · CCN 190114

Merit-based Incentive Payment System (MIPS)

Final score
94.86 of 100 (group)
Quality
91.31
Promoting interoperability
95
Improvement activities
40
Cost
79.05

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230113002639 LA Practitioner - Nurse Practitioner 1153792908 Reassigns benefits to 6 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homer Memorial Hospital Current
since May 17, 2024		 Accepting new patients
Northern Louisiana Emergency Physicians, LLP Nurse Practitioner Current
since Oct 10, 2023		 Accepting new patients
Homer Memorial Hospital Current
since May 17, 2024		 Accepting new patients
Central Louisiana Physicians, LLC Nurse Practitioner Current
since Oct 1, 2024		 Accepting new patients
Northeast Louisiana Physicians, LLC Nurse Practitioner Current
since Mar 17, 2024		 Accepting new patients
Ward 3 4 & 10 Hospital Service District of Parish of Union Current
since Jan 1, 2025		 Accepting new patients
Northern Louisiana Emergency Physicians LLP Nurse Practitioner Current
since Dec 6, 2022		 Accepting new patients
Northern Louisiana Emergency Physicians LLP Current
since Dec 6, 2022		 Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

100 Medical Park Dr
Bernice, LA 71222
Phone (318) 285-7777

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

926 Frances Dr
Haynesville, LA 71038
Phone (318) 624-0554

104 Morris Cir
Homer, LA 71040
Phone (318) 927-1110

912 W Main St
Homer, LA 71040
Phone (318) 927-2024

620 E College St
Homer, LA 71040
Phone (318) 927-2024

817 Sheppard St
Minden, LA 71055
Phone (318) 371-3838

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 227362 LA Yes

Addresses

Primary practice location

401 E Vaughn Ave
Ruston, LA 71270-5950

Mailing address

176 Highway 148
Ruston, LA 71270-8436

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 15, 2022.

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1730801754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 HIGHWAY 148",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712708436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E VAUGHN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705950",
            "telephone_number": "318-254-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "CLAY",
        "middle_name": "DEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "227362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

All providers in Ruston, LA · Nurse Practitioner in Louisiana

Sources for this page

Verify at the official NPI Registry.