Active NPI
C. Bryan Wait, M.D., Internal Medicine,P.C.
- Internal Medicine Physician
- Columbia City, IN
National Provider Identifier
1841423027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 50005079A
- Legal business name
- C. BRYAN WAIT, M.D., INTERNAL MEDICINE,P.C.
- Practice address
- 360 N Oak St
Columbia City, IN 46725-1608 - Phone
- (260) 244-0238
- Fax
- (260) 244-1976
- NPI assigned
- Sep 3, 2009
- Last updated
- Jan 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Calvert Bryan Wait, M.D.
- Title
- Physician/Owner
- Phone
- (260) 244-0238
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 50005079A | IN | Primary |
Addresses
Primary practice location
360 N Oak St
Columbia City, IN 46725-1608
Mailing address
360 N Oak St
Columbia City, IN 46725-1608
Phone (260) 244-0238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200963590 | Medicaid | IN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Columbia City, IN
- NPI 1053398156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263168000000",
"number": "1841423027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 N OAK ST",
"city": "COLUMBIA CITY",
"state": "IN",
"postal_code": "467251608",
"telephone_number": "260-244-0238",
"fax_number": "260-244-1976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 N OAK ST",
"city": "COLUMBIA CITY",
"state": "IN",
"postal_code": "467251608",
"telephone_number": "260-244-0238",
"fax_number": "260-244-1976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C. BRYAN WAIT, M.D., INTERNAL MEDICINE,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-03",
"last_updated": "2010-01-11",
"status": "A",
"authorized_official_last_name": "WAIT",
"authorized_official_first_name": "CALVERT",
"authorized_official_middle_name": "BRYAN",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "260-244-0238",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IN",
"license": "50005079A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200963590",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.