Active NPI
Thomas R. Bryant, M.D.
- Family Medicine Physician
- Hueytown, AL
National Provider Identifier
1851487417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11392
- Practice address
- 3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2317 - Phone
- (205) 491-3299
- Fax
- (205) 744-8751
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11392 | AL | Primary |
| Skilled Nursing Facility | 314000000X | 11392 | AL |
Addresses
Primary practice location
3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2317
Mailing address
PO Box 11407
Dept 2043
Birmingham, AL 35246-2043
Phone (205) 491-3299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051532844 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11392 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC - Bessemer | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Bessemer, AL
- NPI 1255395471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1851487417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407",
"address_2": "DEPT 2043",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352462043",
"telephone_number": "205-491-3299",
"fax_number": "205-744-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3004 ALLISON BONNETT MEMORIAL DR",
"city": "HUEYTOWN",
"state": "AL",
"postal_code": "350232317",
"telephone_number": "205-491-3299",
"fax_number": "205-744-8751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "THOMAS",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "11392",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "11392",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051532844",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hueytown, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.