Active NPI
Bryan M Pereira, M.D.
- Neurological Surgery Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 4301087004
- Practice address
- 1201 E Michigan Ave Ste 240
Jackson, MI 49201-1855 - Phone
- (517) 205-1591
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A-70278 | CA | |
| Neurological Surgery Physician | 207T00000X | DR.0054621 | CO | |
| Neurological Surgery Physician | 207T00000X | 4301087004 | MI | Primary |
Addresses
Primary practice location
1201 E Michigan Ave Ste 240
Jackson, MI 49201-1855
Mailing address
1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806
Other practice location 1
499 E Hampden Ave
Suite # 220
Englewood, CO 80113-2780
Phone (303) 783-8844
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1150 E Sherman Blvd
Suite 2400
Muskegon, MI 49444-1886
Phone (231) 672-4243
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-3027
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 85.47
- Improvement activities
- 40
- Cost
- 69.38
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-70278 | CA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Partners - Physician Specialist | Current | Accepting new patients | |
| Mercy Health Partners | Past | Accepting new patients | |
| West Shore Cardiology, PLC | Past | Accepting new patients | |
| Spine Neurosurgery Inst of NE Wi S.C. | Neurological Surgery | Past | Accepting new patients |
Locations
1675 Leahy St
Ste 401
Muskegon, MI 49442
Phone (231) 727-4243
1150 E Sherman Blvd
Ste 2400
Muskegon, MI 49444
Phone (231) 672-4243
1700 Clinton St
Muskegon, MI 49442
Phone (231) 726-3511
1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027
Interoperability endpoints
- bpereira863233@direct.hfhs.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Trinity Health Medical Group
- Internal Medicine Physician
- Muskegon, MI
- NPI 1922248772
-
- Neurological Surgery Physician
- Oconto Falls, WI
- NPI 1528038866
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
dba West Shore Cardiology
- Cardiovascular Disease Physician
- Muskegon, MI
- NPI 1073528642
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1154391589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORD PL STE 3A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023450",
"telephone_number": "313-874-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 E MICHIGAN AVE STE 240",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011855",
"telephone_number": "517-205-1591"
}
],
"practiceLocations": [
{
"address_1": "499 E Hampden Ave",
"address_2": "Suite # 220",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "CO",
"postal_code": "801132780",
"country_code": "US",
"telephone_number": "303-783-8844",
"fax_number": "303-783-2002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREIRA",
"first_name": "BRYAN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A-70278",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CO",
"license": "DR.0054621",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4301087004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.