Individual provider Active NPI

David Bryant Jr., MD

  • Obstetrics & Gynecology Physician
  • Detroit, MI
National Provider Identifier
1013984236
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301058041 Issued in MI
Practice address
3750 Woodward Ave
Suite 200C
Detroit, MI 48201-2007
Phone
(313) 993-4645
Fax
(313) 993-4654
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301058041 MI Primary
Maternal & Fetal Medicine Physician 207VM0101X 4301058041 MI

Addresses

Primary practice location

3750 Woodward Ave
Suite 200C
Detroit, MI 48201-2007

Mailing address

1560 E Maple Rd
Suite 400- Credentialing
Troy, MI 48083-1138
Phone (313) 745-4525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000082 MI Practitioner - Obstetrics/Gynecology 0042298317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northeastern Ohio University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

3980 John R St
Detroit, MI 48201-2018
Phone (313) 745-8040

3990 John R St
Detroit, MI 48201-2018

400 Mack Ave
Detroit, MI 48201-2136
Phone (313) 448-9006

400 Mack Ave 2
Detroit Mack Health Center
Detroit, MI 48201-2136
Phone (313) 448-9006

400 Mack Ave 2 West-Credentialing Dept
Detroit, MI 48201-2136

4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266

6071 W Outer Dr
Detroit, MI 48235-2624

Hospital & facility affiliations

  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
  • Harper University Hospital Hospital, Detroit, MI, CCN 230104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince Jul 1, 2011 Accepting new patients
University Physician Group Obstetrics & Gynecology CurrentSince Jul 1, 2011 Accepting new patients
Iha Health Service Corporation Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
University Physician Group Past Accepting new patients
Iha Health Services Corporation PastSince Jan 1, 1990 Accepting new patients
Iha Health Services Corporation Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
University Physician Group Past Accepting new patients
VHS Harper-Hutzel Hospital Inc Past Accepting new patients
Iha Health Services Corporation Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients

Locations

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

5250 Auto Club Dr
Ste 290A
Dearborn, MI 48126
Phone (313) 448-9220

400 Mack Ave
Ste 2
Detroit, MI 48201
Phone (313) 448-9006

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4201 Saint Antoine St
Ste 4C
Detroit, MI 48201
Phone (313) 993-8645

3980 John R St
#4
Detroit, MI 48201
Phone (313) 745-7641

26400 W 12 Mile Rd
Ste 140
Southfield, MI 48034
Phone (248) 352-8200

1560 E Maple Rd
Ste 400
Troy, MI 48083

Interoperability endpoints

  • Direct secure messaging: drbryant@direct.dmc.org
  • Direct secure messaging: david.bryant.1@19711.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1013984236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "address_2": "SUITE 400- CREDENTIALING",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831138",
            "telephone_number": "313-745-4525",
            "fax_number": "313-745-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 WOODWARD AVE",
            "address_2": "SUITE 200C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012007",
            "telephone_number": "313-993-4645",
            "fax_number": "313-993-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301058041",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MI",
            "license": "4301058041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.