MICHAEL ANTHONY BRYANT (NPI# 1871542811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871542811 |
| Entity Type | Individual |
| Full Name | MICHAEL ANTHONY BRYANT |
| Credential | PA-C |
| Practice Address |
305 W Jackson St Ste 103 Carbondale IL 62901-1474 |
| Mailing Address |
Po Box 3988 Carbondale IL 62902-3988 |
| Practice Telephone | 6183514972 |
| Practice Fax Number | 6183516522 |
| Mailing Telephone | 6184575200 |
| Mailing Fax Number | 6185290586 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085.002238 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 2162 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2162 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2005019359 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245795335 | Michael Chelsea Bryant | Counselor | 6508 Givens Place Ct, Granbury, TX 76049-4104 | 2019-02-04 |
| 1386118271 | Michael Jason Bryant | Student in an Organized Health Care Education/Training Program | 315 Quarry Hill Rd Unit 235, South Burlington, VT 05403-6389 | 2019-01-14 |
| 1467990135 | Michael Bryant | Clinic/Center | 3330 Frow Ave, Suite A, Coconut Grove, FL 33133-5007 | 2017-02-02 |
| 1629461165 | Michael Bryant | Physician Assistant | 911 Rudgate Rd, Columbus, GA 31904-2948 | 2015-03-09 |
| 1174867972 | Michael Buzzle Bryant | Counselor | 3719 Sherbourne Ln, Greensboro, NC 27405 | 2012-11-16 |
| 1952682940 | Michael Francis Bryant | Chiropractor | 18302 S Whitten Ln, West Linn, OR 97068-9348 | 2011-09-02 |
| 1891988531 | Michael Darrh Bryant | Dentist | 1234 Timberlane Rd, Tallahassee, FL 32312-1710 | 2007-08-27 |
| 1699886002 | Michael R Bryant | Dentist | 28125 Bradley Rd Ste 210, Sun City, CA 92586-2248 | 2006-08-31 |
| 1144226309 | Michael Steven Bryant | Surgery | 1841 Quiet Cv, Fayetteville, NC 28304-3857 | 2005-06-22 |
| 1093315541 | Michael Bryant Jr. | Pharmacist | 1211 Highway 367 N, Newport, AR 72112-2513 | 2020-10-26 |
| Street Address |
305 W JACKSON ST STE 103 |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427609775 | Brandi Anderson | Nurse Practitioner | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2019-09-26 |
| 1689180978 | Hope Elizabeth Merkley | Nurse Practitioner | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2017-12-21 |
| 1932578895 | Cori Starkweather | Nurse Practitioner | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2015-09-22 |
| 1326423823 | Muhammad Amjad Hameed | Psychiatry & Neurology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2015-07-25 |
| 1972914869 | Sahil Gupta | Psychiatry & Neurology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2014-05-13 |
| 1609171206 | Crystal Adel Honold | Clinical Nurse Specialist | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2011-01-13 |
| 1265698260 | Gerson A Criste | Anesthesiology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2008-07-30 |
| 1619186269 | Tiffany Ward | Psychiatry & Neurology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2007-05-21 |
| 1508807181 | Mark Fleming | Neurological Surgery | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2006-06-08 |
| 1376597815 | Ahmed H Jafri | Psychiatry & Neurology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821618471 | Derrik Abell | Physician Assistant | 11648 Rolling Meadows Ln, Carbondale, IL 62901-0750 | 2020-04-23 |
| 1598277907 | Mallory Lindberg | Physician Assistant | 207 W Jackson St Ste 201, Carbondale, IL 62901-1408 | 2017-10-26 |
| 1790009488 | Northeast Physician Housecalls, Inc. | Physician Assistant | 52 Dundaff St, Carbondale, PA 18407-1879 | 2010-03-24 |
| 1164618633 | Rachel Marie Sargent | Physician Assistant | 600 N. Giant City Rd, Carbondale, IL 62902-6413 | 2007-09-19 |
| 1851502421 | Kelly K Hand | Physician Assistant | 665 E Lake Rd, Carbondale, IL 62901-5347 | 2007-05-25 |
| 1073729877 | Kathleen Ann Dodd | Physician Assistant | 374 East Grand, Carbondale, IL 62901-6740 | 2007-05-16 |
| 1376680462 | Gabriel A Martin | Physician Assistant | 103 S Washington St, Suite 202, Carbondale, IL 62901-3030 | 2007-01-30 |
| 1649385873 | Mary L Brandenburg | Physician Assistant | 1301 E Walnut St, Carbondale, IL 62901-5004 | 2006-08-20 |
| 1841237120 | Patricia A Boudet | Physician Assistant | 404 S Lewis Ln, Carbondale, IL 62901-3547 | 2006-06-02 |
| 1821055047 | Kenneth John Bannon | Physician Assistant | 111 Salem Avenue, Suite 302, Carbondale, PA 18407-2574 | 2006-05-01 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
Please comment or provide details below to improve the information on MICHAEL ANTHONY BRYANT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.