Everett V Bryant MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

EB060301 Issued in MI

Legal business name

EVERETT V BRYANT MD PLLC

Practice address

6 Parklane Blvd
436
Dearborn, MI 48126-2696

Phone

(313) 584-1940

Fax

(313) 584-1945

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Everett Bryant, MDNPI 1982750881

Title

MD

Phone

(313) 584-1940

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Everett Bryant, MD

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1982750881
  Medicare reassignment NPD Authorized official
• Rocelious Goodson III, PA-C

  • Medical Physician Assistant
  • Dearborn, MI
  • NPI 1992863872
  Medicare reassignment

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1306992201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARKLANE BLVD",
            "address_2": "436",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262696",
            "telephone_number": "313-584-1940",
            "fax_number": "313-584-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARKLANE BLVD",
            "address_2": "436",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262696",
            "telephone_number": "313-584-1940",
            "fax_number": "313-584-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT V BRYANT MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "313-584-1940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "EB060301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Etters Thomas, MS, CCC-SLP
• Aylmer D Evangelista, MD
• Aliya K Renai Evans
• Richard Bruce Evans, PA-C
• Valary Michelle Evans, MD
• Breonna Everett
• Evergreen Wellness Equipment Inc
• Everwell Behavioral Health PLLC
• Gayle B Eves, MPT
• Eviva Medical PC

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.