{"npi":"1144217324","type":"NPI-1","status":"active","name":{"display":"Mark Bryer MD","other":[],"first":"MARK","last":"BRYER","middle":"P","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0001X","primary_taxonomy_description":"Radiation Oncology Physician","slug":"radiation-oncology-physician","schema_org_specialty":null,"all":[{"code":"2085R0001X","description":"Radiation Oncology Physician","primary":true,"state":"MO","license":"102993"}]},"addresses":[{"purpose":"LOCATION","street_1":"1705 E BROADWAY","city":"COLUMBIA","state":"MO","postal_code":"652017166","country_code":"US","street_2":"SUITE 100","phone":"5738747800","fax":"5734433627"},{"purpose":"MAILING","street_1":"1705 E BROADWAY STE 100","city":"COLUMBIA","state":"MO","postal_code":"652017167","country_code":"US","phone":"5738747800","fax":"5736073878"}],"license":{"state":"MO","number":"102993"},"identifiers":[{"type_code":"01","label":"Other","value":"E71404","state":null,"issuer":"MERCY HEALTH PLANS"},{"type_code":"01","label":"Other","value":"11440","state":null,"issuer":"GHP"},{"type_code":"05","label":"Medicaid","value":"206676603","state":"MO","issuer":null},{"type_code":"01","label":"Other","value":"2400004","state":null,"issuer":"UNITED HEALTHCARE"},{"type_code":"01","label":"Other","value":"5132415","state":null,"issuer":"AETNA"},{"type_code":"01","label":"Other","value":"65201A017","state":null,"issuer":"TRICARE"},{"type_code":"01","label":"Other","value":"23324152","state":null,"issuer":"BCBS OF KC"},{"type_code":"01","label":"Other","value":"257403","state":null,"issuer":"HEALTHLINK"},{"type_code":"01","label":"Other","value":"19991","state":null,"issuer":"BCBS OF MO"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070604000046","type_code":"14-92","type_desc":"PRACTITIONER - RADIATION ONCOLOGY","state":"MO","pac_id":"2668570425"}]},"enumeration_date":"2005-10-03","last_updated":"2025-01-31","_meta":{"source":"NPPES","snapshot_date":"2025-01-31","doc_url":"https://findmynpi.com/api"}}