Individual provider Active NPI

Jesse Thornton Bryant IV, M.D.

  • Diagnostic Radiology Physician
  • Elizabethtown, KY
National Provider Identifier
1912922113
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
31987 Issued in KY
Practice address
2409 Ring Rd Ste 114
Elizabethtown, KY 42701-5935
Phone
(270) 982-3344
Fax
(270) 982-3366
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 31987 KY Primary

Addresses

Primary practice location

2409 Ring Rd Ste 114
Elizabethtown, KY 42701-5935

Mailing address

2409 Ring Rd Ste 114
Elizabethtown, KY 42701-5935
Phone (270) 982-3344

Other identifiers 1

IdentifierTypeStateIssuer
64036585MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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

Enrollment IDStateProvider typePAC IDDetails
I20070808000501 KY Practitioner - Diagnostic Radiology 3678664455 Reassigns benefits to 4 organizations
I20221014000690 IN Practitioner - Diagnostic Radiology 3678664455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kentucky College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians
Radiology Associates IncGroup PAC ID 9436045259, 57 clinicians
Northgate Medical Imaging LLCGroup PAC ID 5193744209, 43 clinicians

Practice addresses (Care Compare)

1313 Saint Anthony PL
Louisville, KY 40204-1740
Phone (502) 587-7001

1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701

807 Northgate Blvd
Priority Radiology
New Albany, IN 47150-6419
Phone (812) 949-0807

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5444

Hospital & facility affiliations

  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Harrison County Hospital Hospital, Corydon, IN, CCN 151331

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
54.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31987KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Radiology Associates Inc Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
KND Development 59 LLC CurrentSince Aug 15, 2025 Accepting new patients
Northgate Medical Imaging LLC Diagnostic Radiology CurrentSince Jul 16, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
KND Development 59, LLC CurrentSince Aug 15, 2025 Accepting new patients
Central Kentucky Radiology PLLC Diagnostic Radiology Past Accepting new patients
Radiology Associates Inc Diagnostic Radiology PastSince Apr 3, 2022 Accepting new patients

Locations

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

313 Federal Dr NW
Ste 20
Corydon, IN 47112
Phone (812) 734-3920

1214 Spring St
Ste 2
Jeffersonvlle, IN 47130
Phone (812) 206-8002

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

5130 Charlestown Rd
Ste 2
New Albany, IN 47150
Phone (812) 949-1577

807 Northgate Blvd
New Albany, IN 47150
Phone (812) 206-8002

3615 E John Rowan Blvd
Ste 101
Bardstown, KY 40004
Phone (502) 350-3889

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

2409 Ring Rd
Ste 114
Elizabethtown, KY 42701
Phone (270) 706-5691

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

2530 Sir Barton Way
Ste 250
Lexington, KY 40509
Phone (859) 639-0030

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

1313 Saint Anthony Pl
Louisville, KY 40204
Phone (502) 587-7001

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Organizations & group practices 9

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1912922113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 RING RD STE 114",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015935",
            "telephone_number": "270-982-3344",
            "fax_number": "270-982-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 RING RD STE 114",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015935",
            "telephone_number": "270-982-3344",
            "fax_number": "270-982-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "JESSE",
        "middle_name": "THORNTON",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "31987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64036585",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.