Lucas M Bryant, MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

57875 Issued in TN

Practice address

660 S Mount Juliet Rd Ste 120
Mt Juliet, TN 37122-3968

Phone

(615) 656-7859

NPI assigned

May 19, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://rendermatology.mmi.prod.fhir.ema-api.com/fhir/r4/

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.

• Nashville Nose and Sinus Center, PLLC

  • Otolaryngology Physician
  • Mt Juliet, TN
  • NPI 1801418298
  Medicare reassignment NPD Authorized official
• Ren Dermatology PLLC

  • Dermatology Physician
  • Franklin, TN
  • NPI 1003258484
  Medicare reassignment NPD
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Andrew Jacono MD PLLC

  • Plastic and Reconstructive Surgery Physician
  • Great Neck, NY
  • NPI 1134352024
  NPD (past)

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1902166341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S MOUNT JULIET RD STE 120",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223968",
            "telephone_number": "615-656-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S MOUNT JULIET RD STE 120",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223968",
            "telephone_number": "615-656-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "LUCAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-19",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NY",
            "license": "287468",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TN",
            "license": "57875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph E Brown, DDS
• Stacy B Brown, APN
• Jill M Browning, PT
• Savannah Brunette, RBT
• Natasha Brunner
• Katelynn Nicole Buchanan
• Kelsey Buck, FNP-C
• Peyton Buckner
• Mark Budke, COTA/L
• Kylee Leearah Bull

• Facial Plastic Surgery Physician in Mt Juliet, TN
• Providers in Mt Juliet, TN by specialty
• Facial Plastic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.