KIMBERLY K BRYAN (CNM) – Advanced Practice Midwife, NPI 1386982130
Advanced Practice Midwife
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KIMBERLY K BRYAN (CNM)
16045 1ST AVE S FL 2
BURIEN, WA 981481401
Phone: (206) 965-4200
Fax: (206) 965-4279
Type: Mailing
300 SINGLETON RIDGE RD
ATTENTION PNS CREDENTIALING
CONWAY, SC 295269142
Phone: (843) 234-6946
Type: Mailing
2376 CYPRESS CIRCLE
STE 200
CONWAY, SC 295268994
Phone: (843) 347-7216
Type: Location
PO BOX 421718
GEORGETOWN, SC 294424203
Phone: (843) 652-8226
Type: Mailing
4320 HOLMESTOWN RD
MYRTLE BEACH, SC 295887837
Phone: (843) 546-3132
Fax: (206) 965-4279
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: 2020-01-29
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 |
|---|---|---|---|---|
| I20200129000778 | I | Certified Nurse Midwife (Cnm) | SC | 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 98148)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | SC | |
| Family Practice | FL | |
| - | SC | |
| - | SC | |
| - | SC | |
| - | SC | |
| Sports Medicine, Orthopedic Surgery | SC | |
| - | SC | |
| G A S T R O E N T E R O L O G Y | PA | |
| G A S T R O E N T E R O L O G Y | TN |
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