Organization Active NPI

C. Bryan Wait, M.D., Internal Medicine,P.C.

  • Internal Medicine Physician
  • Columbia City, IN
National Provider Identifier
1841423027
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50005079A Issued in IN
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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.NPI 1053398156
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200963590MedicaidIN

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.