Individual provider Active NPI

James D Bryan, M.D.

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1962449934
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L5259 Issued in TX
Practice address
1215 S Coulter St
Suite 100
Amarillo, TX 79106-1758
Phone
(806) 359-4701
Fax
(806) 353-0091
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L5259 TX Primary

Addresses

Primary practice location

1215 S Coulter St
Suite 100
Amarillo, TX 79106-1758

Mailing address

1215 S Coulter St
Suite 100
Amarillo, TX 79106-1758
Phone (806) 359-4701

Other identifiers 3

IdentifierTypeStateIssuer
8A8915OtherTXBCBS
P00048323OtherTXRR MEDICARE
7581488OtherTXAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100708001023 TX Practitioner - Family Practice 9234225467 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5259TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Ross Gunter MD Inc CurrentSince Mar 1, 2019 Accepting new patients

Locations

200 N Lutterloh Ave
Gatesville, TX 76528
Phone (661) 949-0004

Interoperability endpoints

  • Direct secure messaging: jamesbryan@afpcpa.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1962449934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST",
            "address_2": "SUITE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061758",
            "telephone_number": "806-359-4701",
            "fax_number": "806-353-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST",
            "address_2": "SUITE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061758",
            "telephone_number": "806-359-4701",
            "fax_number": "806-353-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A8915",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00048323",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7581488",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.