Individual provider Active NPI

Bryce Gregerson, M.D.

  • Emergency Medicine Physician
  • Temple, TX
National Provider Identifier
1821333469
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q5415 Issued in TX
Practice address
Ms 11 Ag062 2401 South 31St St
Temple, TX 76508-0001
Phone
(707) 362-6080
NPI assigned
Dec 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X Q5415 TX Primary

Addresses

Primary practice location

Ms 11 Ag062 2401 South 31St St
Temple, TX 76508-0001

Mailing address

Ms 11 Ag062 2401 South 31St St
Temple, TX 76508-0001
Phone (707) 362-6080

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151021002262 TX Practitioner - Emergency Medicine 8729397393 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q5415TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Travis Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 10, 2021 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Dec 28, 2015 Accepting new patients
Brushy Creek Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 5, 2021 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Dec 28, 2015 Accepting new patients

Locations

1860 S Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 506-8503

3620 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 260-2732

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

1925 S A W Grimes Blvd
Round Rock, TX 78664
Phone (512) 260-2732

3600 E Palm Valley Blvd
Ste 3
Round Rock, TX 78665

230 Deer Ridge Dr
Round Rock, TX 78681
Phone (512) 766-1400

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

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.

NPI Registry JSON

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

{
    "created_epoch": "1354924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1821333469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MS 11 AG062 2401 SOUTH 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "707-362-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MS 11 AG062 2401 SOUTH 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "707-362-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGERSON",
        "first_name": "BRYCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-08",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q5415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.