Benjamin J Bryant, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301055735 Issued in MI

Practice address

8050 Roepke CT
Gregory, MI 48137-9645

Phone

(440) 265-9034

NPI assigned

Sep 26, 2008

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8ce5d363-ea3e-4f6f-a99f-e6d83ae8306f/

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.

• General Surgical Associates PC

  • Specialist
  • Marshall, MI
  • NPI 1679502009
  NPD (past)
• The Doctors Group, P.C.

  dba Lakeview Family Practice

  • Family Medicine Physician
  • Battle Creek, MI
  • NPI 1043484322
  NPD (past)

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1194975128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 ROEPKE CT",
            "city": "GREGORY",
            "state": "MI",
            "postal_code": "481379645",
            "telephone_number": "440-265-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 ROEPKE CT",
            "city": "GREGORY",
            "state": "MI",
            "postal_code": "481379645",
            "telephone_number": "440-265-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-26",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301055735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2882386",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Empower Care of Michigan
• Cheri Ann Fair
• GLV Innovations
• Andrea Jan Lasichak, MS, RD, CDE
• Lauren Rill LLC

• Surgery Physician in Gregory, MI
• Providers in Gregory, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.