Individual provider Active NPI

Eric Thomas Bryant, MD

  • Pediatrics Physician
  • Battle Creek, MI
National Provider Identifier
1467716522
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301101661 Issued in MI
Practice address
4520 Beckley Rd
Battle Creek, MI 49015-7941
Phone
(269) 969-8723
Fax
(269) 969-8724
NPI assigned
Jul 3, 2012
Last updated
Feb 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301101661 MI Primary

Addresses

Primary practice location

4520 Beckley Rd
Battle Creek, MI 49015-7941

Mailing address

4520 Beckley Rd
Battle Creek, MI 49015-7941
Phone (269) 969-8723

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
I20160415001142 MI Practitioner - Pediatric Medicine 3577793819 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Methodist Hospital CurrentSince Apr 1, 2016 Accepting new patients
Cereal City Pediatrics Pediatrics Past Accepting new patients

Locations

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1467716522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 BECKLEY RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157941",
            "telephone_number": "269-969-8723",
            "fax_number": "269-969-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 BECKLEY RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157941",
            "telephone_number": "269-969-8723",
            "fax_number": "269-969-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ERIC",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301101661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.