Individual provider Active NPI

Kerri Bryan, PA

  • Medical Physician Assistant
  • Austin, TX
National Provider Identifier
1962727487
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA15324 Issued in TX
Practice address
8229 Shoal Creek Blvd Ste 105
Austin, TX 78757-7556
Phone
(737) 738-5046
NPI assigned
Mar 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TL1550 SC
Medical Physician Assistant 363AM0700X PA60436 CA
Medical Physician Assistant 363AM0700X 001012262 NC
Medical Physician Assistant 363AM0700X PA20240118 NM
Medical Physician Assistant 363AM0700X PA70012874 WA
Medical Physician Assistant 363AM0700X 10563 AZ
Medical Physician Assistant 363AM0700X 5333 OK
Medical Physician Assistant 363AM0700X PA15324 TX Primary

Addresses

Primary practice location

8229 Shoal Creek Blvd Ste 105
Austin, TX 78757-7556

Mailing address

132 Splendor Cir
Murrells Inlet, SC 29576-7086
Phone (912) 508-2502

Other identifiers 1

IdentifierTypeStateIssuer
1111PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AK, NM, AZ4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220620001874 NC Practitioner - Physician Assistant 9234319179
I20230621002943 AK Practitioner - Physician Assistant 9234319179 Reassigns benefits to 1 organization
I20241105003633 NM Practitioner - Physician Assistant 9234319179 Reassigns benefits to 1 organization
I20250102003784 AZ Practitioner - Physician Assistant 9234319179

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Clay Ave
Jeannette, PA 15644-3466

1932 NW 23Rd St
Oklahoma City, OK 73106-1202

PO Box
Suite 20905
Oklahoma City, OK 73156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003646GAMDClinical Social Worker
5333OKMDDiagnostic Radiology Physician
1550SCMDPhysical Therapy Assistant
PA60436CAMDMedical Physician Assistant
001012262NCMDMedical Physician Assistant
PA20240118NMMDMedical Physician Assistant
TL1550SCMDMedical Physician Assistant
PA70012874WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Workit Health Mi PLLC CurrentSince Sep 23, 2024 Accepting new patients
Workit Health Mi PLLC CurrentSince Jan 1, 2022 Accepting new patients
Workit Health Mi PLLC CurrentSince Oct 28, 2024 Accepting new patients
Bicycle Health Provider Group Inc. Past Accepting new patients
Bicycle Health Medical Group PA Past Accepting new patients

Locations

9700 N 91st St
Ste A115
Scottsdale, AZ 85258
Phone (480) 922-1376

3300 Washtenaw Ave
Ste 280
Ann Arbor, MI 48104
Phone (734) 329-5419

415 N Higgins Ave
Ste 6
Missoula, MT 59802
Phone (406) 351-0414

8229 Shoal Creek Blvd
Ste 105
Austin, TX 78757
Phone (737) 245-7587

5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289

Interoperability endpoints

  • Direct secure messaging: kerri.bryan@597174495543300.direct.elationemr.com

Organizations & group practices 7

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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1962727487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 SPLENDOR CIR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767086",
            "telephone_number": "912-508-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8229 SHOAL CREEK BLVD STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577556",
            "telephone_number": "737-738-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "KERRI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "TL1550",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA60436",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001012262",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA20240118",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA70012874",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "10563",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "5333",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA15324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1111PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.