AMANDA E BRYAN PAC
NPI 1265611818
Physician Assistant - Surgical in Dayton, OH

Q: What is Amanda Bryan's NPI number?

The NPI number for Amanda Bryan is 1265611818. It was assigned to this individual provider in the NPPES registry on October 31, 2007.

Q: What is Amanda Bryan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Bryan was last updated on November 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 31, 2007PECOS EnrolledAccepts Medicare Assignment

76.79/100

CMS Quality Rating

1520 S MAIN ST, SUITE 3, DAYTON, OH 45409(937) 208-7240(937) 208-7242 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Amanda E Bryan Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA E BRYAN PAC (NPI 1265611818) is an individual surgical provider in Dayton, Ohio, licensed in Ohio (50002691) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Atrium Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1265611818

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameAMANDA E BRYANCredential: PAC

Location Address1520 S MAIN ST, SUITE 3Dayton, OH 45409-2698

Mailing Address1520 S Main St, Suite 3Dayton, OH 45409-2698 · (937) 208-7240 · Fax (937) 208-7242

Phone(937) 208-7240

Fax(937) 208-7242

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateOctober 31, 2007

Last NPPES UpdateNovember 19, 2013

✔ NPI 1265611818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in OH · 50002691

1520 S MAIN ST, Dayton, OH 45409

Open in Google Maps ↗

Other Identifiers 3

Medicaid0067774OH

Medicare PINPA29852OH

Medicare PINPA29853OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda E Bryan Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406945104

PECOS Enrollment IDI20071204000114

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Medical Center

Acute Care Hospitals · Franklin, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360076

LocationOne Medical Center DriveFranklin, OH 45005 · Warren County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.65

Promoting Interoperability

100

Improvement Activities

Cost

57.98

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MVHE INC

Internal Medicine (Rheumatology)

1520 S MAIN ST, STE 3
DAYTON, OH 45409

Montgomery County (937) 208-7275

JAMES P GRAHAM M.D.

Internal Medicine (Pulmonary Disease)

1520 S MAIN ST, # 2
DAYTON, OH 45409

Montgomery County (937) 461-5815

MIAMI VALLEY PLASTIC SURGEONS, INC.

Surgery (Plastic and Reconstructive Surgery)

1520 S MAIN ST, SUITE 200
DAYTON, OH 45409

Montgomery County (937) 228-5115

MR. MURTHY V GOLLAMUDI MD

Internal Medicine (Pulmonary Disease)

1520 S MAIN ST, SUITE 2
DAYTON, OH 45409

Montgomery County (937) 461-5815

MS. KIMBERLEY LYNN ALDERMAN L.D.O

Technician/Technologist (Optician)

1520 S MAIN ST
DAYTON, OH 45409

Montgomery County (937) 223-1480

ASSOCIATED EYE PHYSICIANS AND SURGEONS, INC

Ophthalmology

1520 S MAIN ST
DAYTON, OH 45409

Montgomery County (937) 223-1279

MVHE INC

Internal Medicine

1520 S MAIN ST, SUITE 3
DAYTON, OH 45409

Montgomery County (937) 395-4895

MRS. JENNIFER LYNN LONG RN

Registered Nurse

1520 S MAIN ST, SUITE 2
DAYTON, OH 45409

Montgomery County (937) 461-5815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Bryan's NPI number?

The NPI number for Amanda Bryan is 1265611818. It was assigned to this individual provider in the NPPES registry on October 31, 2007.

Where is Amanda Bryan located?

Amanda Bryan practices at 1520 S Main St Suite 3, Dayton, OH 45409. The listed phone number is (937) 208-7240.

What is Amanda Bryan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Amanda Bryan enrolled in Medicare?

Yes. Amanda Bryan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amanda Bryan accept?

Health plans from CareSource and MedMutual list Amanda Bryan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amanda Bryan affiliated with any hospitals?

According to CMS data, Amanda Bryan is affiliated with Atrium Medical Center.

When was this NPI record last updated?

The NPPES record for Amanda Bryan was last updated on November 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.