Individual provider Active NPI

Bryce L Harmon, DO

  • Diagnostic Radiology Physician
  • Fort Carson, CO
National Provider Identifier
1962903344
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2063 Issued in AL
Practice address
Evans Army Community Hospital
1650 Cochrane Cir
Fort Carson, CO 80913
Phone
(719) 526-7000
NPI assigned
Feb 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2063 AL
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 2063 AL Primary

Addresses

Primary practice location

Evans Army Community Hospital
1650 Cochrane Cir
Fort Carson, CO 80913

Mailing address

San Antonio Military Medical Center Radiologydepartment
3551 Roger Brooke Drive
Jbsa Fort Sam Houston, TX 78234-4504
Phone (210) 916-3808

Other practice location 1

San Antonio Military Medical Center RadiologyDepartment
3551 Roger Brooke Drive
JBSA Fort Sam Houston, TX 78234-4504
Phone (210) 916-3808

Other practice location 2

Lyster Army Health Clinic
BLDG 301 Andrews Ave
Fort Rucker, AL 36362-5333
Phone (334) 255-7603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250313000165 CO Practitioner - Diagnostic Radiology 8729509286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

3743 Oak Meadow Dr
Colorado Springs, CO 80920-2413
Phone (614) 221-1399

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172
  • Mercy Health - Tiffin Hospital Hospital, Tiffin, OH, CCN 360089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2063ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients

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.

Hospital & facility affiliations 7

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": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1962903344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN ANTONIO MILITARY MEDICAL CENTER RADIOLOGYDEPARTMENT",
            "address_2": "3551 ROGER BROOKE DRIVE",
            "city": "JBSA FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EVANS ARMY COMMUNITY HOSPITAL",
            "address_2": "1650 COCHRANE CIR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "719-526-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "San Antonio Military Medical Center RadiologyDepartment",
            "address_2": "3551 Roger Brooke Drive",
            "address_purpose": "LOCATION",
            "city": "JBSA Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-916-3808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Lyster Army Health Clinic",
            "address_2": "BLDG 301 Andrews Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Rucker",
            "state": "AL",
            "postal_code": "363625333",
            "country_code": "US",
            "telephone_number": "334-255-7603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARMON",
        "first_name": "BRYCE",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-22",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "2063",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "2063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

Verify at the official NPI Registry.