Individual provider Active NPI

Megan Bryant Busby, NP

  • Pediatrics Physician
  • Mobile, AL
National Provider Identifier
1902684012
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1-202395 Issued in AL
Practice address
5675 Three Notch Rd
Mobile, AL 36619-1617
Phone
(251) 445-4440
Fax
(251) 445-4435
NPI assigned
Sep 19, 2023
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 905699 MS
Pediatrics Physician 208000000X 1-202395 AL Primary

Addresses

Primary practice location

5675 Three Notch Rd
Mobile, AL 36619-1617

Mailing address

5675 Three Notch Rd
Mobile, AL 36619-1617
Phone (251) 445-4440

Other names 1

  • Megan Ruth Bryant Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-202395ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Pediatrics, LLC Pediatrics 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1902684012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 THREE NOTCH RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366191617",
            "telephone_number": "251-445-4440",
            "fax_number": "251-445-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 THREE NOTCH RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366191617",
            "telephone_number": "251-445-4440",
            "fax_number": "251-445-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBY",
        "first_name": "MEGAN",
        "middle_name": "BRYANT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "905699",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "1-202395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BRYANT",
            "middle_name": "RUTH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.