Active NPI
Johnny Earl Bryan, FNP-C
- Family Nurse Practitioner
- West Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 218605
- Practice address
- 420 Wheelis St
West Monroe, LA 71292-3940 - Phone
- (318) 556-8455
- Fax
- (318) 556-8456
- NPI assigned
- Mar 11, 2021
- Last updated
- Mar 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 218605 | LA | Primary |
Addresses
Primary practice location
420 Wheelis St
West Monroe, LA 71292-3940
Mailing address
PO Box 792
Bastrop, LA 71221-0792
Phone (318) 556-8454
Other practice location 1
335 Main St
Marion, LA 71260-5253
Phone (318) 292-2795
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2607111 | Medicaid | LA | |
| 2P4721 | Other | LA | FAMILY NURSE PRACTITIONER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 Main St
Marion, LA 71260-5253
Phone (318) 283-8887
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morehouse Community Medical Centers, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Morehouse Community Medical Centers, Inc | Family | Current | Accepting new patients |
| Morehouse Community Medical Centers, Inc. | Current | Accepting new patients |
Locations
1001 W Madison Ave
Bastrop, LA 71220
Phone (318) 281-8422
314 N Franklin St
Bastrop, LA 71220
Phone (318) 239-8045
402 Highland Ave
Bastrop, LA 71220
Phone (318) 239-3883
518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333
4787 Highway 151
Downsville, LA 71234
Phone (985) 805-6068
1126 Marion Hwy
Farmerville, LA 71241
Phone (318) 327-3550
335 Main St
Marion, LA 71260
Phone (318) 292-2795
108 N 16th St
Mer Rouge, LA 71261
Phone (318) 239-8010
1825 N 18th St
Monroe, LA 71201
Phone (318) 322-7999
309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000
681 Highway 594
Monroe, LA 71203
Phone (318) 381-0140
100 Price Dr
West Monroe, LA 71292
Phone (318) 325-0973
201 Riggs St
West Monroe, LA 71291
Phone (318) 323-3771
420 Wheelis St
West Monroe, LA 71292
Phone (318) 235-3661
Interoperability endpoints
- johnny.bryan.1@11502.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CommuniHealth Services
- Family Medicine Physician
- Bastrop, LA
- NPI 1053373191
Nurse Practitioner
-
dba CommuniHealth Services Morehouse Elementary School Based Health Center
- Federally Qualified Health Center (FQHC)
- Bastrop, LA
- NPI 1114252558
Family
-
dba CommuniHealth Services Miller Roy Clinic
- Federally Qualified Health Center (FQHC)
- Monroe, LA
- NPI 1114740438
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Monroe, LA
- NPI 1548083421
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1891370722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 792",
"city": "BASTROP",
"state": "LA",
"postal_code": "712210792",
"telephone_number": "318-556-8454",
"fax_number": "318-281-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 WHEELIS ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712923940",
"telephone_number": "318-556-8455",
"fax_number": "318-556-8456"
}
],
"practiceLocations": [
{
"address_1": "335 Main St",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "LA",
"postal_code": "712605253",
"country_code": "US",
"telephone_number": "318-292-2795",
"fax_number": "318-292-9278",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYAN",
"first_name": "JOHNNY",
"middle_name": "EARL",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-11",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "218605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2607111",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY NURSE PRACTITIONER",
"identifier": "2P4721",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.