Bryant Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E3094 Issued in AR

Legal business name

BRYANT MEDICAL CLINIC

Practice address

319 Bryant Avenue
Suite 1
Bryant, AR 72022-3815

Phone

(501) 653-0353

Fax

(501) 653-0347

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Christopher B Skelley, MD

Title

Owner/Physician

Phone

(501) 653-0353

Specialties & licenses 1

Addresses

Other names 1

• Bryant Medical Clinic Former legal business name

Interoperability endpoints

• Direct secure messaging: christopherskelley-mmbmc@direct.medalliesmail.com
• Direct secure messaging: tylernelson-mmbmc@direct.medalliesmail.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler J Nelson, M.D.

  • Internal Medicine Physician
  • Bryant, AR
  • NPI 1306814546
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861572620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 BRYANT AVE",
            "address_2": "SUITE 1",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720223815",
            "telephone_number": "501-653-0353",
            "fax_number": "501-653-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BRYANT AVENUE",
            "address_2": "SUITE 1",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720223815",
            "telephone_number": "501-653-0353",
            "fax_number": "501-653-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKELLEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "501-653-0353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E3094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryant Medical Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Internal Medicine Physician in Bryant, AR
• Providers in Bryant, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.