Individual provider Active NPI

Bryant William Reinking, PA

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1790294759
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005165 Issued in CO
Practice address
6011 E Woodmen Rd Ste 360
Colorado Springs, CO 80923-2606
Phone
(719) 571-8550
Fax
(719) 571-8555
NPI assigned
Sep 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X PA.0005165 CO
Physician Assistant 363A00000X PA.0005165 CO Primary

Addresses

Primary practice location

6011 E Woodmen Rd Ste 360
Colorado Springs, CO 80923-2606

Mailing address

1023 E San Miguel St
Colorado Springs, CO 80903-2703
Phone (970) 389-6171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20250211000507 NC Practitioner - Physician Assistant 4789950684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Western Carolina Physician Practices LLCGroup PAC ID 9032338975, 177 clinicians

Practice addresses (Care Compare)

80 Healthcare Dr
Suite 101
Sylva, NC 28779-5127
Phone (828) 586-7451

98 Doctors Dr
Sylva, NC 28779-4502

Hospital & facility affiliations

  • Harris Regional Hospital Hospital, Sylva, NC, CCN 340016
  • DLP Swain County Hospital LLC Hospital, Bryson City, NC, CCN 341305
  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0005165COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC CurrentSince Feb 1, 2025 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Feb 1, 2025 Accepting new patients
Haywood Women'S Medical Center, PA Past Accepting new patients

Locations

32 Physician Dr
Clyde, NC 28721
Phone (828) 564-9222

80 Healthcare Dr
Ste 101
Sylva, NC 28779
Phone (828) 586-7451

80 Healthcare Dr
Ste 201
Sylva, NC 28779
Phone (828) 586-7451

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: bryant.reinking.1@9865.direct.athenahealth.com

Organizations & group practices 5

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 3

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": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1790294759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 E SAN MIGUEL ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032703",
            "telephone_number": "970-389-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD STE 360",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232606",
            "telephone_number": "719-571-8550",
            "fax_number": "719-571-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKING",
        "first_name": "BRYANT",
        "middle_name": "WILLIAM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-21",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0005165",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.