DR. KAYLA DANAE GOODWIN BRYAN (MD) – Pediatric Anesthesiology Physician, NPI 1407023294
Pediatric Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,266 ANESTHESIOLOGY in WI
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Provider Addresses for DR. KAYLA DANAE GOODWIN BRYAN (MD)
1 CHILDRENS PLZ
DAYTON, OH 454041873
Phone: (937) 641-5072
Fax: (937) 641-6129
Type: Mailing
9000, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI 532264874
Phone: (414) 266-3560
Fax: (414) 266-6092
Type: Mailing
9000 W Wisconsin Ave
Pediatric Anesthesiology
Milwaukee, WI 532264874
Phone: (414) 266-3560
Fax: (414) 266-6092
Type: Location
3333 W Tech Rd
Miamisburg, OH 453420955
Phone: (937) 641-4000
Fax: (937) 641-4500
Type: Location
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: 2016-08-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150914001011 | I | Anesthesiology | WI | TBD |
| I20160815001467 | I | Anesthesiology | TN | TBD |
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.
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 45404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | MS | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Pediatric Medicine, Cardiovascular Disease (Cardiology), Interventional Cardiology | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| Diagnostic Radiology | TN | |
| Nephrology, Pediatric Medicine, Nephrology, Pediatric Medicine | TX | |
| Internal Medicine, Nephrology, Pediatric Medicine, Nephrology | TN | |
| Pediatric Medicine, Nephrology | TX |
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