Todd C Bryant, FNP
Individual provider Active NPI Family Nurse Practitioner · Mexico, NY
NPI 1932724366 · NPPES record last updated Feb 2, 2023
Key facts
- NPI
- 1932724366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F345944-01 (NY)
- Practice address
- 5856 Scenic Ave
Mexico, NY 13114-3012 - Phone
- (315) 963-4133
- NPI assigned
- Jun 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Suny Health Science Center at Syracuse
Practice addresses (Care Compare)
550 Harrison St
Syracuse, NY 13202-3188
Phone (315) 464-8093
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-8093
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200916000208 | NY | Practitioner - Nurse Practitioner | 5890113302 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F345944-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suny Health Science Center at Syracuse | Current |
Accepting new patients | |
| Suny Health Science Center at Syracuse | Family | Current |
Accepting new patients |
| Northern Oswego County Health Services, Inc. | Current |
Accepting new patients | |
| Suny Health Science Center at Syracuse | Past | Accepting new patients | |
| Department of Medicine Medical Service Group | Past | Accepting new patients | |
| Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in | Past |
Accepting new patients |
Locations
3045 East Ave
Ste G400
Central Square, NY 13036
Phone (315) 675-9200
3045 East Ave
Central Square, NY 13036
Phone (315) 668-1202
716 Academy St
Fulton, NY 13069
Phone (315) 298-6815
510 S 4th St
Ste 600
Fulton, NY 13069
Phone (315) 598-4790
5856 Scenic Ave
Mexico, NY 13114
Phone (315) 963-4133
16 Fravor Rd
Mexico, NY 13114
Phone 3159638400 ext. 4208
26 Academy St
Mexico, NY 13114
Phone (315) 963-8400
10 George St
Ste 200
Oswego, NY 13126
Phone (315) 342-0880
640 County Route 22
Parish, NY 13131
Phone (315) 625-5210
10 Carlton Dr
Parish, NY 13131
Phone (315) 625-4388
639 County Route 22
Parish, NY 13131
Phone (315) 625-5213
7 Bridge St
Phoenix, NY 13135
Phone (315) 695-4100
61 Delano St
Pulaski, NY 13142
Phone (315) 298-4274
2 Hinman Rd
Pulaski, NY 13142
Phone (315) 298-2412
4624 Salina St
Pulaski, NY 13142
Phone (315) 298-2696
725 E Adams St
Syracuse, NY 13210
Phone (315) 464-4357
725 E Adams St
Fl 3
Syracuse, NY 13210
Phone (315) 464-5533
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- todd.bryant@nochsi.directbygreenway.com
- tbryant51159@direct.upstate.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F345944-01 | NY | Yes |
Addresses
Primary practice location
5856 Scenic Ave
Mexico, NY 13114-3012
Mailing address
5856 Scenic Ave
Mexico, NY 13114-3012
Phone (315) 963-4133
Other practice location 1
61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-9897
Other providers in Mexico, NY
- Kathleen Bosco
- Jessie Bradley
- Allison Marie Bratek
- Adrienne Larie Brimmer
- Leah Saviera Briones-Cooper
- Aubrey Campbell
- Cani PT OT SLP & Psychology, PLLC
- Celeste I Carnes
- Nancy Lynn Carr
- Joan M Carroll
All providers in Mexico, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2023. 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.