Individual provider Active NPI

Bryant McNeill, M.D.

  • Internal Medicine Physician
  • Usaf Academy, CO
National Provider Identifier
1801092390
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101244865 Issued in VA
Practice address
4102 Pinion 10MDG
Usaf Academy, CO 80840
Phone
(719) 333-5052
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD-23775 HI
Internal Medicine Physician 207R00000X 0101244865 VA Primary
Hospitalist Physician 208M00000X M-17868 ID

Addresses

Primary practice location

4102 Pinion 10MDG
Usaf Academy, CO 80840

Mailing address

4102 Pinion Dr # 10MDG
Usaf Academy, CO 80840-2502
Phone (719) 333-5052

Other practice location 1

25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Phone (208) 784-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, HI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20171018000032 AZ Practitioner - Internal Medicine 2466690946 Reassigns benefits to 2 organizations
I20240904001124 HI Practitioner - Internal Medicine 2466690946 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 S 20TH Ave
Safford, AZ 85546-4011
Phone (928) 348-4000

2175 W 16TH St
Safford, AZ 85546-0011
Phone (928) 348-4444

Hospital & facility affiliations

  • Mt. Graham Regional Medical Center Hospital, Safford, AZ, CCN 031319
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101244865VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midpacific Hospitalists LLC Internal Medicine CurrentSince Aug 16, 2024 Accepting new patients
Kau Hospital Current Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Sep 6, 2025 Accepting new patients
Mt Graham Regional Medical Center Inc CurrentSince Aug 31, 2017 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Sep 6, 2025 Accepting new patients
Kau Hospital CurrentSince Sep 6, 2025 Accepting new patients
Kau Hospital CurrentSince Sep 6, 2025 Accepting new patients
Mt Graham Regional Medical Center Inc Past Accepting new patients
Hawaii Emergency Physicians Associated Inc Past Accepting new patients

Locations

2175 W 16th St
Unit D
Safford, AZ 85546
Phone (928) 348-1600

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

45-547 Plumeria St
Honokaa, HI 96727
Phone (808) 775-7211

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

Interoperability endpoints

  • Direct secure messaging: bryant.mcneill-mmmgrmc@contexture.medalliesmail.com

Organizations & group practices 9

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 2

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1801092390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 PINION DR # 10MDG",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 PINION 10MDG",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "80840",
            "telephone_number": "719-333-5052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Jacobs Gulch Rd",
            "address_purpose": "LOCATION",
            "city": "Kellogg",
            "state": "ID",
            "postal_code": "838372023",
            "country_code": "US",
            "telephone_number": "208-784-1221",
            "fax_number": "208-784-0961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEILL",
        "first_name": "BRYANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "HI",
            "license": "MD-23775",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101244865",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-17868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Usaf Academy, CO

Sources for this page

Verify at the official NPI Registry.