Provider Type Icon

CARRIE SUZANNE BRYANT PA-C NPI 1528379302


NPI Information

NPI: 1528379302
Provider Name: CARRIE SUZANNE BRYANT, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4620 GENESYS PKWY
GRAND BLANC, MI
ZIP 48439
Phone: (810) 606-7200
Get Directions

Carrie Suzanne Bryant, PA-C is a medical physician assistant in Grand Blanc, MI with 14 years of experience. Carrie Suzanne Bryant, PA-C NPI is 1528379302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

4620 GENESYS PKWY
GRAND BLANC, MI
ZIP 48439-067
Phone: (810) 606-7200
Fax: (810) 606-7115

The NPI 1528379302 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2010 and was last updated on 3/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical5601005736MICHIGANNo
2363AM0700XPhysician AssistantMedical5601005736MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.