Bryan Thomas Anderson, FNP
Individual provider Active NPI Nurse Practitioner · Big Spring, TX
NPI 1831661388 · NPPES record last updated Jan 3, 2019
Key facts
- NPI
- 1831661388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP138976 (TX)
- Practice address
- 1601 W 11TH PL
Big Spring, TX 79720-4114 - Phone
- (432) 263-1211
- NPI assigned
- Dec 21, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Concord Medical Group of Texas PLLC
Practice addresses (Care Compare)
1601 W 11TH PL
Big Spring, TX 79720-4114
Phone (432) 263-1211
Hospital & facility affiliations
- Ward Memorial Hospital
- Odessa Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 76.18
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190123000797 | TX | Practitioner - Nurse Practitioner | 1153668629 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP138976 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Ward | Current | Accepting new patients | |
| County of Ward | Current |
Accepting new patients | |
| Odessa Physician Associates, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| County of Ward | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas - Houston, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| County of Ward | Current |
Accepting new patients |
Locations
3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144
813 E 4th St
Monahans, TX 79756
Phone (432) 943-2068
406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511
900 E 4th St
Odessa, TX 79761
Phone (432) 362-9900
520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929
2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282
Interoperability endpoints
- bryan.anderson.1@14590.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP138976 | TX | |
| Nurse Practitioner | 363L00000X | AP138976 | TX | Yes |
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
Other providers in Big Spring, TX
- Nathalie Nguetsop Ako
- Jaclynn Collette Allen
- Alpine Cardiovascular Imaging, L.L.C.
- American Senior Homecare
- Isaac Kwesi Amoako
- Mandy Jo Anderson
- Anywhere Mobile Health Care PLLC
- Eligio Jason Arguello
- Brandi Avila
- Segun Basiru Awosemo
All providers in Big Spring, TX · Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.