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Bryan David Otley , PA-C

Physician Assistant β€’ Jackson, MS

Active NPI 1508671066 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1325 E Fortification St
Jackson, MS 392022442

Call 6013544488 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1325 E Fortification St

Jackson, MS 392022442

Telephone 6013544488
Fax 6013515980
Organization at the Same NPPES Address or Phone
Mississippi Sports Medicine & Orthopaedic Center Facility NPI 1568415560

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Mississippi Sports Medicine And Orthopaedic Center. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Bryan Otley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Bryan Otley as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Mississippi

65 active clinicians are listed under Physician Assistant with a practice address in Jackson, MS (338 in Mississippi).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

4.6% of these 65 clinicians have the CMS telehealth indicator.

69.2% of these 65 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Mississippi State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260315000007

Enrollment State Jurisdiction

MS

PECOS Control ID

2567945850

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Mississippi Sports Medicine And Orthopaedic Center

1325 E Fortification St, Jackson, MS 392022442

Phone: 6013544488

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Jeff Almand , MD

Orthopaedic Surgery

NPI 1548217904

Doctor of Medicine (M.D.)

Dr. Austin Atkins , MD

Orthopaedic Surgery

NPI 1831776558

Doctor of Medicine (M.D.)

Dr. Carrie Ball , DPT

Physical Therapist

NPI 1629744875

Doctor of Physical Therapy

Dr. Austin Barrett , MD

Orthopaedic Surgery

NPI 1770781338

Doctor of Medicine (M.D.)

Dr. Mckenzie Bergeron , DPT

Physical Medicine & Rehabilitation - Sports Medicine

NPI 1639844921

Doctor of Physical Therapy

Regina Berry , CNP

Nurse Practitioner - Acute Care

NPI 1154799625

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location March 09, 2026

Registered at 1325 E FORTIFICATION ST, JACKSON, MS 392022442 (Tel: 6013544488)

πŸ“
Updated Business Mailing Address March 09, 2026

Registered at 1325 E FORTIFICATION ST, JACKSON, MS 392022442 (Tel: 6013544488)

πŸ“
Updated Practice Location May 02, 2025

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019841000)

πŸ“
Updated Business Mailing Address May 02, 2025

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019841000)

βœ…
NPI Profile Active February 18, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 18, 2025

Registered at 616 MARRIOTT DR, NASHVILLE, TN 372145048 (Tel: 6298023000)

πŸ“
Business Mailing Address (Initial Record) February 18, 2025

Registered at 616 MARRIOTT DR, NASHVILLE, TN 372145048

πŸ‘€
Provider Name / Credentials (Initial Record) February 18, 2025

Recorded as BRYAN OTLEY, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2025

Physician Assistant

🟒
Initial NPI Registration & Enumeration February 11, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508671066
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2025
Last Update: March 09, 2026
Sole Proprietor: No

Other Physician Assistants in Jackson

All Physician Assistants in Jackson

Mailing Address

1325 E Fortification St

Jackson, MS 392022442

Phone: 6013544488

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.