NPIMap

Individual provider Active NPI

Bryan Thomas Anderson, FNP

  • Nurse Practitioner
  • Big Spring, TX
National Provider Identifier
1831661388
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP138976 Issued in TX
Practice address
1601 W 11TH PL
Big Spring, TX 79720-4114
Phone
(432) 263-1211
NPI assigned
Dec 21, 2018
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138976 TX
Nurse Practitioner 363L00000X AP138976 TX Primary

Addresses

Primary practice location

1601 W 11TH PL
Big Spring, TX 79720-4114

Mailing address

1621 Utah Ave
San Angelo, TX 76904-7188
Phone (325) 812-8320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190123000797 TX Practitioner - Nurse Practitioner 1153668629 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

1601 W 11TH PL
Big Spring, TX 79720-4114
Phone (432) 263-1211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
76.18
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP138976TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ward CurrentSince Apr 1, 2023 Accepting new patients
County of Ward CurrentSince Apr 1, 2023 Accepting new patients
Odessa Physician Associates, PLLC Nurse Practitioner CurrentSince Apr 15, 2020 Accepting new patients
County of Ward Current Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Nurse Practitioner CurrentSince May 1, 2022 Accepting new patients
County of Ward Current Accepting new patients

Locations

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511

813 E 4th St
Monahans, TX 79756
Phone (432) 943-2068

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

900 E 4th St
Odessa, TX 79761
Phone (432) 362-9900

2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282

Interoperability endpoints

  • Direct secure messaging: bryan.anderson.1@14590.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1831661388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 UTAH AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047188",
            "telephone_number": "325-812-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W 11TH PL",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204114",
            "telephone_number": "432-263-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRYAN",
        "middle_name": "THOMAS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-21",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138976",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP138976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.