Active NPI
Mary Anne Bryan, MD
- Ophthalmology Physician
- Big Spring, TX
National Provider Identifier
1811963507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- K9026
- Practice address
- 300 Veterans Boulevard
West Texas VA Health Care System
Big Spring, TX 79720 - Phone
- (432) 263-7361
- Fax
- (432) 268-5044
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | K9026 | TX | Primary |
Addresses
Primary practice location
300 Veterans Boulevard
West Texas VA Health Care System
Big Spring, TX 79720
Mailing address
300 Veterans Boulevard
West Texas VA Health Care System
Big Spring, TX 79720
Phone (432) 263-7361
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09705294 | Medicaid | MS | |
| 1556912 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150225000148 | TX | Order and Referring Only - Ophthalmology | 0042316978 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Ophthalmology | Past | Accepting new patients |
| Associates in Ophthalmology LTD | Ophthalmology | Past | Accepting new patients |
| Northwest Eye Associates Inc | Ophthalmology | Past | Accepting new patients |
| Florida Clinical Practice Association Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- West Mifflin, PA
- NPI 1639175045
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
Ophthalmology
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Ophthalmology Physician
- Franklin, PA
- NPI 1134334055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1811963507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 VETERANS BOULEVARD",
"address_2": "WEST TEXAS VA HEALTH CARE SYSTEM",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "79720",
"telephone_number": "432-263-7361",
"fax_number": "432-268-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 VETERANS BOULEVARD",
"address_2": "WEST TEXAS VA HEALTH CARE SYSTEM",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "79720",
"telephone_number": "432-263-7361",
"fax_number": "432-268-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "MARY",
"middle_name": "ANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "K9026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09705294",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1556912",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Big Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.