Michael Anthony Bryant, PA-C
Michael Anthony Bryant, PA-C is a Physician Assistant in Carbondale, Illinois. Qualified in 2004, 22 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Illinois, Missouri and Tennessee.
- Years since qualifying
- 22
- Licensed in
- IL, MO, TN
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
305 W Jackson St Ste 400Carbondale, IL 62901-1474
Phone: (618) 351-4972
Fax: (618) 351-4973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085002238 (IL) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 2005019359 (MO) |
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 2162 (TN) |
Record details
| NPI number | 1871542811 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 8, 2006 |
| Last updated in NPPES | August 14, 2023 |
| Certification date | August 14, 2023 |
| Mailing address | Po Box 3988, Carbondale, IL 62902-3988 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Select Physical Therapy Holdings Inc — 2121 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in Carbondale
-
Mr. Michael Leroy Matteson, PAC
305 W Jackson St Ste 105, Carbondale, IL 62901-1474 · (618) 536-2565