ZACK ELLIS BRYANT (M.D.) – Preventive Medicine/Occupational Environmental Medicine Physician, NPI 1770945370
Preventive Medicine/Occupational Environmental Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ZACK ELLIS BRYANT (M.D.)
3401 MALLORY LN
FRANKLIN, TN 370672025
Phone:
Type: Mailing
3201, Data Drive, Rancho Cordova, Sacramento County, California, 95670, United States
RANCHO CORDOVA, CA 956707374
Phone: (916) 851-1440
Type: Mailing
Community Regional Medical Center, 2823, Fresno Street, Fresno, Fresno County, California, 93721, United States
FRESNO, CA 937211324
Phone: (559) 459-6000
Type: Location
4801 E LINWOOD BLVD
KANSAS CITY, MO 641282226
Phone:
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: 2019-07-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190723001229 | I | Family Practice | CA | 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 37067)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Registered Dietitian Or Nutrition Professional | CA | |
| Cardiovascular Disease (Cardiology) | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| Cardiovascular Disease (Cardiology) | CA | |
| Physical Therapist In Private Practice | CA | |
| Family Practice | CA | |
| U R O L O G Y | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| O P T O M E T R Y | CT |
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