Organization Active NPI

Branislav D Behan MD PLLC

  • Orthopaedic Surgery Physician
  • Bay City, MI
National Provider Identifier
1376728576
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
BB067457 Issued in MI
Legal business name
BRANISLAV D BEHAN MD PLLC
Practice address
2117 16TH St
Bay City, MI 48708-7607
Phone
(989) 895-9500
Fax
(989) 895-9600
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Dr. Branislav D Behan, MDNPI 1609962778
Title
Doctor
Phone
(989) 895-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X BB067457 MI Primary

Addresses

Primary practice location

2117 16TH St
Bay City, MI 48708-7607

Mailing address

2117 16TH St
Bay City, MI 48708-7607
Phone (989) 895-9500

Other identifiers 4

IdentifierTypeStateIssuer
2000931221OtherMIBCN
P00142022OtherMIMEDICARE RAILROAD
104474336MedicaidMI
2000931221OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041111000150 MI Part B Supplier - Clinic/Group Practice 2961465836 Receives reassigned benefits from 2 practitioners
Practice locations: Bay City, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1376728576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 16TH ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087607",
            "telephone_number": "989-895-9500",
            "fax_number": "989-895-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 16TH ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087607",
            "telephone_number": "989-895-9500",
            "fax_number": "989-895-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANISLAV D BEHAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "BEHAN",
        "authorized_official_first_name": "BRANISLAV",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "989-895-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "BB067457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "2000931221",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00142022",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104474336",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2000931221",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.