Individual provider Active NPI

Clayton Hollingsworth Bryan, M.D

  • Ophthalmology Physician
  • Hendersonville, NC
National Provider Identifier
1982654505
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35800 Issued in NC
Practice address
1701 Old Village Rd
Hendersonville, NC 28791-3772
Phone
(828) 693-1773
Fax
(828) 692-3297
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35800 NC Primary
Ophthalmology Physician 207W00000X 16171 SC

Addresses

Primary practice location

1701 Old Village Rd
Hendersonville, NC 28791-3772

Mailing address

PO Box 2300
Hendersonville, NC 28793-2300
Phone (828) 693-1773

Other identifiers 1

IdentifierTypeStateIssuer
891004AMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100521000367 NC Practitioner - Ophthalmology 2961531488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of North Carolina at Chapel Hill School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Ophthalmology PAGroup PAC ID 1456325604, 10 clinicians

Practice addresses (Care Compare)

1701 Old Village Rd
Hendersonville, NC 28791-3772
Phone (828) 693-1773

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35800NCMDOphthalmology Physician
16171SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Ophthalmology, PA Ophthalmology CurrentSince Jul 1, 1996 Accepting new patients
Carolina Ophthalmology PA Ophthalmology CurrentSince Jul 1, 1996 Accepting new patients

Locations

1 Vanderbilt Park Dr
Ste 150
Asheville, NC 28803
Phone (828) 277-8233

1701 Old Village Rd
Hendersonvlle, NC 28791
Phone (828) 693-1773

Organizations & group practices 2

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1982654505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2300",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287932300",
            "telephone_number": "828-693-1773",
            "fax_number": "828-692-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 OLD VILLAGE RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913772",
            "telephone_number": "828-693-1773",
            "fax_number": "828-692-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "CLAYTON",
        "middle_name": "HOLLINGSWORTH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "35800",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "16171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891004A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.