BRYANT FAMILY MEDICAL CLINIC, P.A.
NPI 1073640769
Clinic/Center - Medical Specialty in Bryant, AR

NPI Status: Active since February 28, 2007

Contact Information

408 OFFICE PARK DR STE 3
BRYANT, AR
ZIP 72022
Phone: (501) 847-2835
Fax: (501) 847-6809

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • CLIA Number: 04D0891906
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-19-2026

About BRYANT FAMILY MEDICAL CLINIC, P.A.

This page provides the complete NPI Profile along with additional information for Bryant Family Medical Clinic, P.a., a provider established in Bryant, Arkansas operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1073640769 assigned on February 2007. The practitioner's primary taxonomy code is 261QM2500X with license number MC2196 (AR). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Gaelle Bryant (Business Manager)

NPI
1073640769
Provider Name
BRYANT FAMILY MEDICAL CLINIC, P.A.
Entity Type
Organization
Location Address
408 OFFICE PARK DR STE 3 BRYANT, AR 72022
Location Phone
(501) 847-2835
Location Fax
(501) 847-6809
Mailing Address
408 OFFICE PARK DR STE 3 BRYANT, AR 72022
Mailing Phone
(501) 847-2835
Mailing Fax
(501) 847-6809
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2007
Last Update Date
07-24-2019
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Location Map

Secondary Locations

  • 610 W Commerce St
    Bryant, AR 72022
    (501) 847-2835

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
MC2196
License State
AR
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GAELLE BRYANT

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(501) 804-9712

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MC2196OTHER (01)ARARKANSAS STATE MEDICAL BO

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D0891906
Facility Type
Physician Office
Certificate Effective Date
September 20, 2024
Certificate Expiration Date
September 19, 2026
Laboratory Director
MICHAEL R. BEARD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Bryant Family Medical Clinic, P.a. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073640769, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 2 + 4 + 0 + 7 + 1 + 2 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1073640769.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Counselor
408 OFFICE PARK DR STE 3
BRYANT, AR 72022
Nurse Practitioner (Adult Health)
408 OFFICE PARK DR STE 3
BRYANT, AR 72022
Nurse Practitioner (Family)
408 OFFICE PARK DR STE 3
BRYANT, AR 72022
Nurse Practitioner (Family)
408 OFFICE PARK DR STE 3
BRYANT, AR 72022
Nurse Practitioner (Primary Care)
408 OFFICE PARK DR STE 3
BRYANT, AR 72022
Durable Medical Equipment & Medical Supplies
408 OFFICE PARK DR STE 3
BRYANT, AR 72022
Pain Medicine (Interventional Pain Medicine)
408 OFFICE PARK DR STE 3
BRYANT, AR 72022
Nurse Anesthetist, Certified Registered
408 OFFICE PARK DR STE 3
BRYANT, AR 72022
Nurse Anesthetist, Certified Registered
408 OFFICE PARK DR STE 3
BRYANT, AR 72022
Pain Medicine (Interventional Pain Medicine)
408 OFFICE PARK DR STE 3
BRYANT, AR 72022
Nurse Practitioner
408 OFFICE PARK DR STE 3
BRYANT, AR 72022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073640769, enumerated as an "organization" on February 28, 2007.

The provider is located at 408 OFFICE PARK DR STE 3 BRYANT, AR 72022 and the phone number is (501) 847-2835.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.