Clay Dean Bryant

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

227362 Issued in LA

Practice address

401 E Vaughn Ave
Ruston, LA 71270-5950

Phone

(318) 254-2100

NPI assigned

Sep 15, 2022

Last updated

Sep 15, 2022By 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

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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 UnionGroup PAC ID 8123011137, 14 clinicians

Northern Louisiana Emergency Physicians, LLPGroup PAC ID 9638246846, shared by 2 NPIs, 28 clinicians

Homer Memorial HospitalGroup PAC ID 1456322692, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score

94.86 of 100Reported as group

Quality

91.31

Promoting interoperability

95

Improvement activities

40

Cost

79.05

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Homer Memorial Hospital

  dba Claiborne Memorial Medical Center

  • Emergency Medicine Physician
  • Homer, LA
  • NPI 1609066646
  Medicare reassignment Care Compare group NPD
• Ward 3 4 & 10 Hospital Service District of Parish of Union

  dba Reeves Memorial Medical Center

  • Family Medicine Physician
  • Bernice, LA
  • NPI 1124277728
  Medicare reassignment Care Compare group NPD
• Central Louisiana Physicians, LLC

  • Internal Medicine Physician
  • Alexandria, LA
  • NPI 1417738675

  Nurse Practitioner

  Medicare reassignment NPD
• Northeast Louisiana Physicians, LLC

  • Internal Medicine Physician
  • Bossier City, LA
  • NPI 1407637671

  Nurse Practitioner

  Medicare reassignment NPD
• Northern Louisiana Emergency Physicians LLP

  dba Northern Louisiana Physicians LLP

  • Hospitalist Physician
  • Ruston, LA
  • NPI 1598995847

  Nurse Practitioner

  Medicare reassignment NPD
• Northern Louisiana Emergency Physicians, LLP

  dba Northern Louisiana Physicians LLP

  • Emergency Medicine Physician
  • Ruston, LA
  • NPI 1588828172

  Nurse Practitioner

  Medicare reassignment NPD
• Homer Memorial Hospital

  dba Claiborne Memorial Medical Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Homer, LA
  • NPI 1306441175
  NPD
• Northern Louisiana Emergency Physicians LLP

  dba Northern Louisiana Physicians LLP

  • Emergency Medicine Physician
  • Winnfield, LA
  • NPI 1497085690
  NPD

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

• Homer Memorial Hospital

  dba Claiborne Memorial Medical Center

  • General Acute Care Hospital
  • Homer, LA
  • NPI 1831183748
  Care Compare affiliation

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

{
    "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": []
}

• Cynthia Candace Bryan
• Haley Bryan
• Jessica Bryan, LPC, NCC
• Matthew Dean Bryan, AU.D.
• Melinda F Bryan, PH.D., CCC-A
• Crystal Renee Bryant
• Jasmine Bryant
• Buboltz & Associates, LLC
• Walter C Buboltz Jr., PH.D.
• Buddy Drivers LLC

• Nurse Practitioner in Ruston, LA
• Providers in Ruston, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.