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BRYAN CARTER
NPI 1689045197
Physician Assistant - Medical in San Bernardino, CA

Active since October 09, 2015PECOS Enrolled
1455 E 3RD STREET, SAN BERNARDINO, CA 92410(909) 382-7100 Get Directions Write a Review

NPPES record last updated: October 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryan Carter NPPES

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

BRYAN CARTER (NPI 1689045197) is an individual medical provider in San Bernardino, California and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689045197
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBRYAN CARTER
Location Address1455 E 3RD STREETSan Bernardino, CA 92410
Mailing Address25590 Prospect Ave, Apt 04bLoma Linda, CA 92354-3141
Phone(909) 382-7100
Sole ProprietorYes
Enumeration DateOctober 9, 2015
✔ NPI 1689045197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1455 E 3RD STREET, San Bernardino, CA 92410
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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)

Bryan Carter 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims20 services$6.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

DR. MARX GENOVEZ M.D.
Family Medicine
1455 E 3RD STREET
SAN BERNARDINO, CA 92410
San Bernardino County (909) 382-7100

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 Bryan Carter's NPI number?

The NPI number for Bryan Carter is 1689045197. It was assigned to this individual provider in the NPPES registry on October 9, 2015.

Where is Bryan Carter located?

Bryan Carter practices at 1455 E 3rd Street, San Bernardino, CA 92410. The listed phone number is (909) 382-7100.

What is Bryan Carter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Bryan Carter enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bryan Carter was last updated on October 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.