Yvon F Bryan, MD
Individual provider Active NPI Anesthesiology Physician · Lebanon, NH
NPI 1912965013 · NPPES record last updated Apr 23, 2019
Key facts
- NPI
- 1912965013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 19566 (NH)
- Practice address
- One Medical Center Dr
Dartmouth Hitchcock - Anesthesiology
Lebanon, NH 03756 - Phone
- (603) 650-6177
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Texas Medical School at Houston, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dartmouth-Hitchcock Clinic
Practice addresses (Care Compare)
1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
PO Box
Suite 810
Hanover, NH 03755-0810
Hospital & facility affiliations
- Mary Hitchcock Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081017000133 | NC | Practitioner - Anesthesiology | 6103870571 | |
| I20190502002623 | NH | Practitioner - Anesthesiology | 6103870571 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-01153 | NC | MD | Anesthesiology Physician |
| 19566 | NH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Anesthesiology | Current |
Accepting new patients |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Children'S Medical Services, Inc | Past | Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
Interoperability endpoints
- ybryan354608@direct.dartmouth-hitchcock.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2008-01153 | NC | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2008-01153 | NC | |
| Anesthesiology Physician | 207L00000X | 19566 | NH | Yes |
Addresses
Primary practice location
One Medical Center Dr
Dartmouth Hitchcock - Anesthesiology
Lebanon, NH 03756
Mailing address
One Medical Center Dr
Dartmouth Hitchcock - Anesthesiology
Lebanon, NH 03756
Phone (603) 650-6177
Other practice location 1
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2255
Other providers in Lebanon, NH
- William Louden Brown
- Reed Brozen
- Nicole Brugger
- Zarina Brune
- Sharon Bry
- Matthew David Bryant
- Patricia Ann Bryson
- Paulette Buchholz
- Lisa Buck-Rogers
- Jay Clark Buckey Jr.
All providers in Lebanon, NH · Anesthesiology Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.