TARA BRYANT (MD) – Ophthalmology Physician, NPI 1306250527

TARA BRYANT (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 274131 (MA). The NPI Number for TARA BRYANT (MD) is 1306250527

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TARA BRYANT (MD)
NPI
1306250527
Phone
(617) 636-5000
Address
800 WASHINGTON ST
Enumeration Date
16 June 2014
Last Update Date
17 December 2021

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
9784687346
Graduation Year
2014 (12 years ago)
PAC ID
6103131321
Group Practice PAC ID
2264336528
Professional Enrollment ID
I20180612002492

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

801 OPHTHALMOLOGY in MA

Provider Addresses for TARA BRYANT (MD)

  • 800 WASHINGTON ST

    BOSTON, MA 021111552

    Phone: (617) 636-5000

    Type: Location

  • 3553 WHIPPLE RD

    UNION CITY, CA 945871507

    Phone: (510) 675-2020

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180612002492IOphthalmologyMATBD
I20201214000370IOphthalmologyCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02111)

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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: 2264336528View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
G A S T R O E N T E R O L O G YNY
Physician AssistantMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

What NPI should I save for TARA BRYANT (MD)?
Save NPI 1306250527 if you need a stable reference for TARA BRYANT (MD).
Is TARA BRYANT (MD) active in the national directory?
TARA BRYANT (MD)'s public NPI profile is in an active state.
Does TARA BRYANT (MD) list a primary specialty?
If you are matching referrals, note Ophthalmology Physician for TARA BRYANT (MD). Clinical services aligned with this taxonomy classification.
Where is TARA BRYANT (MD)'s primary listing?
We display Boston, Massachusetts because that is what the record indicates for TARA BRYANT (MD).
Is TARA BRYANT (MD) a real provider?
This page reflects official NPPES data for NPI 1306250527. Always confirm identity and privileges with the practice and licensing boards.

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