Tim Bryan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35487 Issued in AZ

Practice address

4365 E Pecos Rd
Suite 134
Gilbert, AZ 85295-8053

Phone

(480) 840-9155

Fax

(480) 840-9320

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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.

• Archwell Health Professional Services of Arizona, LLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1558026880

  AZ

  Medicare reassignment NPD
• Prescott Healthcare Solutions LLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505

  AZ, Family Medicine

  Medicare reassignment NPD
• The Rejuvenation Center of Chandler

  • Physical Medicine & Rehabilitation Physician
  • Chandler, AZ
  • NPI 1376588715
  NPD (past)

Merit-based Incentive Payment System (MIPS)

Final score

21.66 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

72.21

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2011.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1831133743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD",
            "address_2": "BLDG 14, SUITE 134",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958053",
            "telephone_number": "480-840-9155",
            "fax_number": "480-840-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD",
            "address_2": "SUITE 134",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958053",
            "telephone_number": "480-840-9155",
            "fax_number": "480-840-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "TIM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "35487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trashaunna Brumfield
• Stevie Lynn Brumwell
• Courtney Bruno
• Kiyana Brutus, RN NP
• Megan Bruxvoort, AU.D.
• Amy Beth Bryant, LAC
• David Bryant, PTA
• Christopher Daniel Bryce, M.D.
• Laura Bublitz, RBT
• Lokeswari Bucchireddigari

• All providers in Gilbert, AZ
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.