DR. BRYAN KEITH PAYNE M.D.
NPI 1295050565
Psychiatry & Neurology - Child & Adolescent Psychiatry in Grand Forks Afb, ND

Q: What is Bryan Payne's NPI number?

The NPI number for Bryan Payne is 1295050565. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Q: What is Bryan Payne's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Payne was last updated on May 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2010PECOS Enrolled

1599 J ST, GRAND FORKS AFB, ND 58205(701) 747-5547 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2024, May 11, 2022, Aug 27, 2021 and 3 more (6 updates tracked since 2016).

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About Dr. Bryan Keith Payne M.d. NPPES

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

DR. BRYAN KEITH PAYNE M.D. (NPI 1295050565) is an individual child & adolescent psychiatry provider in Grand Forks Afb, North Dakota, licensed in Texas (Q7592) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295050565

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. BRYAN KEITH PAYNECredential: M.D.

Location Address1599 J STGrand Forks Afb, ND 58205-6306

Mailing Address1599 J StGrand Forks Afb, ND 58205-6332 · (701) 747-5547

Phone(701) 747-5547

Sole ProprietorNo

Enumeration DateMarch 30, 2010

Last NPPES UpdateMay 14, 20246 updates tracked since enumeration

NPPES CertifiedMay 14, 2024

✔ NPI 1295050565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in TX · Q7592

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPediatricsTaxonomy 208000000X · License 098454 (OH)

1599 J ST, Grand Forks Afb, ND 58205

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bryan Keith Payne M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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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.

DR. RANDALL CLIFFORD NEDEGAARD PH.D

Psychologist (Clinical)

1599 J ST, 319 MDOS/SGOH
GRAND FORKS AFB, ND 58205

Grand Forks County (701) 747-7155

CHARLES EDWARD HOLTZ JR. IDMT

Military Health Care Provider (Independent Duty Medical Technicians)