Bryan P Shumaker, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

4301036561 Issued in MI

Practice address

289 Blue Water TRL
Boyne City, MI 49712-8816

Phone

(248) 762-0568

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alliance Physician Services of Michigan, P.C.

  • Urology Physician
  • St Clair Shores, MI
  • NPI 1427027416
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1013972934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 BLUE WATER TRL",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497128816",
            "telephone_number": "248-762-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 BLUE WATER TRL",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497128816",
            "telephone_number": "248-762-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAKER",
        "first_name": "BRYAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301036561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "A76750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey Redman
• Katherine Redman
• Kelly Elaine Richey, B.S
• Susan Lee Roache, OTR/L
• Heather A Samkowiak
• Silver Wave Care LLC
• Tammy L Slaght
• Gretchen Stelter
• Summertree Residential Centers
• Danielle Swartz

• Urology Physician in Boyne City, MI
• Providers in Boyne City, MI by specialty
• Urology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.