DR. LESLIE RAY III BRYANT (M.D.) – Diagnostic Radiology Physician, NPI 1710978218

DR. LESLIE RAY III BRYANT (M.D.) is a healthcare provider. based in South portland, Maine. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD19182 (ME). The NPI Number for DR. LESLIE RAY III BRYANT (M.D.) is 1710978218

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. LESLIE RAY III BRYANT (M.D.)
NPI
1710978218
Phone
(207) 482-7800
Address
324 GANNETT DR
Enumeration Date
3 November 2005
Last Update Date
29 January 2013

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
9075632662
Graduation Year
1988 (38 years ago)
PAC ID
5698950038
Group Practice PAC ID
6709780265
Professional Enrollment ID
I20110428000046
Address ID
AK995085910AN4441XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

200 DIAGNOSTIC RADIOLOGY in ME

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Provider Addresses for DR. LESLIE RAY III BRYANT (M.D.)

  • 324, Gannett Drive, South Portland, Cumberland County, Maine, 04106, United States

    SUITE 200

    SOUTH PORTLAND, ME 041063270

    Phone: (207) 482-7800

    Type: Mailing

  • Eastern Maine Medical Center, 489, State Street, Bangor, Penobscot County, Maine, 04401, United States

    BANGOR, ME 044016616

    Phone: (207) 973-8305

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110428000046IDiagnostic RadiologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77067Screening mammography147147$0
71046X-ray of chest, 2 views100100$0
74177Ct scan of abdomen and pelvis with contrast6059$0
70450Ct scan head or brain without contrast3635$0
71260Ct scan of chest with contrast3333$0
View full utilization report →

Insurance plans in this area (ZIP 04106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709780265View full group profile
NameSpecialtyState
N E U R O S U R G E R YWA
Family PracticeAK
-AK
Internal MedicineNY
-AK
Diagnostic RadiologyNC
Nurse PractitionerAK
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YWA
Certified Nurse Midwife (Cnm)AK

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. LESLIE RAY III BRYANT (M.D.)?
DR. LESLIE RAY III BRYANT (M.D.) — NPI 1710978218 — is the standard way to identify this listing.
Can I rely on DR. LESLIE RAY III BRYANT (M.D.) being an active provider?
As of the registry snapshot, DR. LESLIE RAY III BRYANT (M.D.) is marked active.
What is DR. LESLIE RAY III BRYANT (M.D.)'s specialty?
The listing groups DR. LESLIE RAY III BRYANT (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. LESLIE RAY III BRYANT (M.D.) serve?
DR. LESLIE RAY III BRYANT (M.D.)'s listing highlights South Portland, Maine; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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