MRS. MARY M BRYANT (NPI# 1962419663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962419663 |
| Entity Type | Individual |
| Full Name | MRS. MARY M BRYANT |
| Credential | MD |
| Practice Address |
4002 Kresge Way #100 Louisville KY 40207 |
| Practice Telephone | 5028971121 |
| Practice Fax Number | 5028971189 |
| Mailing Telephone | 5028971121 |
| Mailing Fax Number | 5028971189 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2011-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 30713 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR | 110165641 | 01 | |
| KY | 64307135 | 05 | |
| KY | DEA | BB4116427 | 01 |
| KY | ANTHEM | 000000051875 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528202967 | Mary E Bryant | Nurse Anesthetist, Certified Registered | 3748 Olympic Ct, Rapid City, SD 57702-0529 | 2009-04-29 |
| 1265566863 | Mary Yvonne Bryant II | Social Worker | 632 W 171st St, Apt. 1a, New York, NY 10032-3111 | 2007-03-15 |
| 1528125622 | Mary Bryant | Physical Therapist | 30630 Hwy 72 West, Madison, AL 35756 | 2007-01-02 |
| 1134207814 | Mary Jo Bryant | Physical Therapist | 9469 Kenwood Road, Cincinnati, OH 45242 | 2006-11-01 |
| 1073126298 | Mary Bryant | Technician | 360 Main St, Hamlin, WV 25523-1412 | 2020-08-27 |
| 1629699343 | Mary Katherine Bryant | Occupational Therapist | 2011 Broadway St Ste 130, Pearland, TX 77581-5945 | 2020-05-04 |
| 1679101729 | Mary Candace Bryant | Counselor | 1105 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2020-04-01 |
| 1679121222 | Mary Kathryn Bryant | Social Worker | 1803 N Jackson St, Tullahoma, TN 37388-2201 | 2019-08-27 |
| 1023488673 | Mary Mackenzie Bryant | Student in an Organized Health Care Education/Training Program | 1040 S Winter St, Suite 1022, Adrian, MI 49221-3867 | 2015-09-25 |
| 1174901540 | Mary Katherine Bryant | Surgery | 4001 Burnett Womack Building, Cb #7050, Chapel Hill, NC 27599-7050 | 2015-05-18 |
| Street Address |
4002 KRESGE WAY #100 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104810282 | Diane R Levine | Dietitian, Registered | 4002 Kresge Way, Suite 124, Louisville, KY 40207-4661 | 2005-09-06 |
| 1770751638 | Charles E. Oates Md Pllc | Psychiatry & Neurology | 4002 Kresge Way, Suite 124, Louisville, KY 40207-4605 | 2008-02-13 |
| 1982827804 | Charles E Marshall | Art Therapist | 4002 Kresge Way, Louisville, KY 40207-4605 | 2007-04-10 |
| 1770602252 | Drs Hornaday, Costel, & Bryant, Pllc | Internal Medicine | 4002 Kresge Way, Suite 100, Louisville, KY 40207-4605 | 2007-03-28 |
| 1790799427 | Esther E Costel | Internal Medicine | 4002 Kresge Way, Suite 100, Louisville, KY 40207 | 2006-07-28 |
| 1942214606 | William M Schreiber | Internal Medicine | 4002 Kresge Way, Suite 100, Louisville, KY 40207 | 2006-07-28 |
| 1588601934 | Neurohealth Consultants, Pllc | Psychiatry & Neurology | 4002 Kresge Way, Suite 124, Louisville, KY 40207-4605 | 2006-06-02 |
| 1447215041 | James F. Swift | Internal Medicine | 4002 Kresge Way, Ste 124, Louisville, KY 40207-4661 | 2006-04-18 |
| 1245295765 | Jun Oh Kim | Internal Medicine | 4002 Kresge Way, Suite 124, Louisville, KY 40207-4661 | 2006-04-18 |
| 1598729360 | George T. Shee | Internal Medicine | 4002 Kresge Way, Suite 124, Louisville, KY 40207-4661 | 2006-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280216 | Hmps Internal Medicine of West Louisville Pllc | Internal Medicine | 2730 Brownsboro Rd Apt 164, Louisville, KY 40206-1268 | 2020-09-18 |
| 1174085203 | New Hope Recovery LLC | Internal Medicine | 2503 Bush Ridge Dr Ste A, Louisville, KY 40245-5885 | 2019-04-06 |
| 1619452364 | Peak Internal Medicine | Internal Medicine | 400 S Mccaslin Blvd Ste 200, Louisville, CO 80027-9701 | 2018-09-28 |
| 1245729870 | Mark Louis Siefring | Internal Medicine | 842 Parkway Dr, Louisville, KY 40217-2456 | 2018-05-09 |
| 1306341417 | Louisville Primary Care | Internal Medicine | 801 Barret Ave Ste 112, Louisville, KY 40204-1732 | 2018-03-29 |
| 1467966143 | Ray Richard Taylor | Internal Medicine | 1618 Polo Club Ct, Louisville, KY 40245-4482 | 2017-11-17 |
| 1972024768 | Paridhi Mathur | Internal Medicine | 6801 Dixie Hwy Ste 40258, Louisville, KY 40258-3913 | 2017-06-30 |
| 1780115998 | Preston Urgent Care, Inc | Internal Medicine | 4822 Preston Hwy, Louisville, KY 40213-2226 | 2017-03-21 |
| 1255873832 | Belissa Malier Ramos Chaves | Internal Medicine | 550 S Jackson St Bldg A, Louisville, KY 40202-1622 | 2016-11-14 |
| 1326499161 | Cristina Salmon | Internal Medicine | 550 S Jackson St Rm A3r40, Louisville, KY 40202-1622 | 2016-06-23 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on MRS. MARY M 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.