Organization Active NPI

Gail Bryant MDSC

  • Family Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1972813970
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036098963 Issued in IL
Legal business name
GAIL BRYANT MDSC
Practice address
125 S Wilke Rd
Suite 100
Arlington Heights, IL 60005-1534
Phone
(847) 637-1600
Fax
(847) 637-1606
NPI assigned
Oct 12, 2010
Last updated
Apr 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Dr. Gail G Bryant, M.D.NPI 1447202064
Title
Director
Phone
(847) 637-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036098963 IL Primary

Addresses

Primary practice location

125 S Wilke Rd
Suite 100
Arlington Heights, IL 60005-1534

Mailing address

125 S Wilke Rd
Suite 100
Arlington Heights, IL 60005-1534
Phone (847) 637-1600

Other identifiers 1

IdentifierTypeStateIssuer
1601983OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110419000400 IL Part B Supplier - Clinic/Group Practice 6002090990 Receives reassigned benefits from 2 practitioners
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1286841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1972813970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S WILKE RD",
            "address_2": "SUITE 100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051534",
            "telephone_number": "847-637-1600",
            "fax_number": "847-637-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S WILKE RD",
            "address_2": "SUITE 100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051534",
            "telephone_number": "847-637-1600",
            "fax_number": "847-637-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL BRYANT MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-12",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-637-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036098963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1601983",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.