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Active NPI 1427363449 Individual Practitioner Male Practitioner

Dr. Justin R Bryant , DO, MBA

Surgery - Plastic and Reconstructive Surgery • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Justin Bryant, DO, MBA is a certified Surgery - Plastic and Reconstructive Surgery practicing in Fort Wayne, IN. With approximately 16 years of clinical experience since graduating from Oklahoma State University College Of Osteopathic Medicine in 2010, Dr. Bryant delivers high-quality medical care to the local community at 11141 PARKVIEW PLAZA DR STE 300.

Dr. Bryant is affiliated with Smh Physician Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, muscle flap wound repair of leg, removal of cancer skin growth of body, arms, or legs, more than 4.0 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11141 Parkview Plaza Dr Ste 300

Fort Wayne, IN 468451715

Telephone 2604256960
Associated Practice Facility / Clinic
🏢 Smh Physician Services Inc Facility NPI 1346295292

Medicare Profile & Education

Medical School

Oklahoma State University College Of Osteopathic Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Fort Wayne, IN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +3.0 yrs vs City Avg
City Avg: 13.0 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Fort Wayne, IN (48 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bryant (16 Years) 16 Yrs
Fort Wayne Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
14 14 $219.00 $103.22
99202 New patient office or other outpatient visit, typically 20 minutes
13 13 $152.00 $63.02

Medical Specialties & State Licenses

CMS Verified: 2025-05-22
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License FL OS21663

A surgeon who specializes in plastic and reconstructive surgery.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License WI 71983

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License DC DO034726

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License IN 02004908A

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1427363449 (WI)

Hospital & Practice Group Affiliations

Smh Physician Services Inc

1921 Waldemere St, Sarasota, FL 342392941

Phone: 9419175400

Secondary Practice Locations

1921 Waldemere St Ste 301

Sarasota, FL 342392941

Phone: 9412624001

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Hannah Hess , PA-C

Physician Assistant

NPI 1174498778

Physician Assistant (Certified)

NPI 1326049479

Doctor of Medicine (M.D.)

Kaitlyn King , PA-C

Physician Assistant

NPI 1518335132

Physician Assistant (Certified)

Dr. Evan Westrick , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1962857219

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Business Mailing Address May 22, 2025

Registered at PO BOX 947407, ATLANTA, GA 303947407 (Tel: 9419172600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2025

Plastic Surgery (License #71983 in WI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2022

Plastic Surgery (License #DO034726 in DC)

📍
Updated Practice Location May 06, 2021

Registered at 11141 PARKVIEW PLAZA DR STE 300, FORT WAYNE, IN 468451715 (Tel: 2604256960)

📍
Updated Business Mailing Address March 31, 2021

Registered at 11109 PARKVIEW PLAZA DRIVE, MAILBOX 117, FORT WAYNE, IN 46845 (Tel: 2602668210)

📍
Updated Practice Location December 18, 2019

Registered at 1155 N MAYFAIR RD, MILWAUKEE, WI 532263462 (Tel: 4149555990)

📍
Updated Business Mailing Address December 18, 2019

Registered at 1155 N MAYFAIR RD, MILWAUKEE, WI 532263462 (Tel: 4149555990)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2019

Plastic Surgery (License #71983 in WI)

📍
Updated Practice Location February 06, 2019

Registered at 111 MICHIGAN AVE NW, WASHINGTON, DC 200102916 (Tel: 2024765000)

📍
Updated Business Mailing Address February 06, 2019

Registered at PO BOX 744785, ATLANTA, GA 303744785 (Tel: 3015723500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2019

Plastic Surgery (License #DO034726 in DC)

NPI Profile Active July 31, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2015

Registered at 28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 483365919 (Tel: 9999999999)

📍
Updated Business Mailing Address July 31, 2015

Registered at 28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 483365919

👤
Provider Name / Credentials Updated July 31, 2015

Recorded as JUSTIN BRYANT, DO, MBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2015

Internal Medicine (License #5101018922 in MI)

🟢
Initial NPI Registration & Enumeration August 13, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427363449
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2010
Last Update: May 22, 2025
Sole Proprietor: No

Mailing Address

Po Box 947407

Atlanta, GA 303947407

Phone: 9419172600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.