NPIMap

Individual provider Active NPI

Bryan Thomas Kirkland, MD

  • Internal Medicine Physician
  • Monroe, GA
National Provider Identifier
1821018441
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
057712 Issued in GA
Practice address
1016 E Spring St
Monroe, GA 30655-2469
Phone
(770) 464-0280
Fax
(770) 464-0233
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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 057712 GA Primary

Addresses

Primary practice location

1016 E Spring St
Monroe, GA 30655-2469

Mailing address

1016 E Spring St
Monroe, GA 30655-2469
Phone (770) 464-0280

Other identifiers 2

IdentifierTypeStateIssuer
361264217EMedicaidGA
361264217DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070122000505 GA Practitioner - Internal Medicine 2062413867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ofhc - Focus LLCGroup PAC ID 4284979147, 3 clinicians
Our Family Health CenterGroup PAC ID 7214090364, 8 clinicians

Practice addresses (Care Compare)

1016 E Spring St
Monroe, GA 30655-2469
Phone (770) 464-0280

Hospital & facility affiliations

  • Amedisys Home Health of Covington Home health agency, Covington, GA, CCN 117065
  • Centerwell Home Health Home health agency, Kennesaw, GA, CCN 117027
  • Guardian Home Care of Central Georgia Home health agency, Watkinsville, GA, CCN 117145
  • Pruitthealth at Home - Atlanta Home health agency, Norcross, GA, CCN 117118
  • Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ofhc - Focus LLC Internal Medicine CurrentSince Feb 12, 2019 Accepting new patients
Our Family Health Center CurrentSince Nov 1, 2012 Accepting new patients

Locations

1016 E Spring St
#0
Monroe, GA 30655

1016 E Spring St
Monroe, GA 30655
Phone (770) 464-0280

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIGAA

Organizations & group practices 2

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1821018441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552469",
            "telephone_number": "770-464-0280",
            "fax_number": "770-464-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552469",
            "telephone_number": "770-464-0280",
            "fax_number": "770-464-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "BRYAN",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "057712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361264217E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361264217D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

Verify at the official NPI Registry.