Individual provider Active NPI

Keisha Kadesha Bryant, MD

  • Internal Medicine Physician
  • Saint Albans, NY
National Provider Identifier
1760801740
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
289760 Issued in NY
Practice address
20515 Hollis Ave Dept of
Saint Albans, NY 11412-1417
Phone
(718) 217-3744
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 289760 NY Primary

Addresses

Primary practice location

20515 Hollis Ave Dept of
Saint Albans, NY 11412-1417

Mailing address

20515 Hollis Ave
Saint Albans, NY 11412-1417
Phone (347) 833-9806

Other names 1

  • Keisha K Kelly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170922002217 NY Practitioner - Internal Medicine 5092089441 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians

Practice addresses (Care Compare)

20515 Hollis Ave
Saint Albans, NY 11412-1417
Phone (718) 217-3744

71 Prospect Ave
Hudson, NY 12534-2927
Phone (518) 828-7601

Hospital & facility affiliations

  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289760NYMDLicensed Practical Nurse

Practice roles (12 of 16)

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital Current Accepting new patients
24 On Physicians, PC CurrentSince Jan 1, 2018 Accepting new patients
House Call Medical Services of New York, PLLC Internal Medicine CurrentSince Nov 18, 2018 Accepting new patients
Cindy Marika D.O. PA Current Accepting new patients
Columbia Memorial Hospital CurrentSince Jan 8, 2024 Accepting new patients
Columbia Memorial Hospital CurrentSince Jan 8, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 18, 2018 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Jul 22, 2017 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 18, 2018 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Nov 18, 2018 Accepting new patients
24 On Physicians, P.C. CurrentSince Jan 1, 2018 Accepting new patients
Columbia Memorial Hospital Past Accepting new patients

Locations

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: kbryant97311@albanymed.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1760801740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20515 HOLLIS AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121417",
            "telephone_number": "347-833-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20515 HOLLIS AVE DEPT OF",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121417",
            "telephone_number": "718-217-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "KEISHA",
        "middle_name": "KADESHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "289760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEISHA",
            "last_name": "KELLY",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Albans, NY

Sources for this page

Verify at the official NPI Registry.