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DR. IAN LUKE BRYAN M.D.
NPI 1639525231
Pediatrics in Edenton, NC

Active since May 12, 2016PECOS Enrolled
18 OLD FISH HATCHERY RD, EDENTON, NC 27932(252) 484-9024(252) 404-8424 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 11, 2024, Jul 21, 2022, May 28, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Ian Luke Bryan M.d. NPPES

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

DR. IAN LUKE BRYAN M.D. (NPI 1639525231) is an individual pediatrics provider in Edenton, North Carolina, licensed in North Carolina (2019-01984) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639525231
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. IAN LUKE BRYANCredential: M.D.
Location Address18 OLD FISH HATCHERY RDEdenton, NC 27932-1640
Mailing Address222b Virginia RdEdenton, NC 27932-9667 · (252) 484-9024 · Fax (252) 404-8424
Phone(252) 484-9024
Fax(252) 404-8424
Sole ProprietorNo
Enumeration DateMay 12, 2016
Last NPPES UpdateNovember 11, 20245 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1639525231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2019-01984
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
18 OLD FISH HATCHERY RD, Edenton, NC 27932
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ian Luke Bryan 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ian Bryan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dlp Maria Parham Physician Practices LLC
93 mi
Rural Health
1501 N BICKETT BLVD STE D
Louisburg, NC 27549
  • Reassigned Medicare billing, North Carolina enrollment
  • 178 clinicians in this Medicare group
NPI 1184318297 (919) 497-8380
Scotland Memorial Hospital Inc
172 mi
Rural Health
412 S. JONES ST.
Pembroke, NC 28372
  • Reassigned Medicare billing, North Carolina enrollment
  • 476 clinicians in this Medicare group
NPI 1508850447 (910) 521-4462

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27932 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ian Bryan's NPI number?

The NPI number for Ian Bryan is 1639525231. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Where is Ian Bryan located?

Ian Bryan practices at 18 Old Fish Hatchery Rd, Edenton, NC 27932. The listed phone number is (252) 484-9024.

What is Ian Bryan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ian Bryan enrolled in Medicare?

Yes. Ian Bryan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ian Bryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ian Bryan reassigns Medicare benefits to 2 organizations: Dlp Maria Parham Physician Practices LLC (Louisburg, NC) and Scotland Memorial Hospital Inc (Pembroke, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ian Bryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ian Bryan was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.