Rosemary Bryant

Individual provider Active NPI Physician Assistant · Lambertville, MI

NPI 1508720525 · NPPES record last updated Jul 14, 2026

Key facts

NPI
1508720525
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
5601013560 (MI)
Practice address
7301 Secor Rd
Lambertville, MI 48144-9737
Phone
(419) 479-5795
NPI assigned
Dec 13, 2025
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Central Michigan College of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4235 Secor Rd
Toldeo, OH 43623-4231

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MI, OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20251229001598 MI Practitioner - Physician Assistant 5698261741 Reassigns benefits to 1 organization
I20260430002065 OH Practitioner - Physician Assistant 5698261741 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601013560MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic PLLC Dermatology Current
since Dec 26, 2025
Accepting new patients

Locations

1136 Country Club Rd
Unit C
Adrian, MI 49221
Phone (517) 336-5110

7301 Secor Rd
Lambertville, MI 48144
Phone (419) 479-5795

106 S Lafayette St
South Lyon, MI 48178
Phone (947) 348-1176

417 4th St
Defiance, OH 43512
Phone (419) 782-9595

341 Trenton Ave
Findlay, OH 45840
Phone (567) 250-8212

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

1090 N Shoop Ave
Wauseon, OH 43567
Phone (419) 330-5200

1070 N Shoop Ave
Wauseon, OH 43567
Phone (419) 330-5200

1100 W Main St
Woodville, OH 43469
Phone (419) 724-5820

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601013560 MI Yes

Addresses

Primary practice location

7301 Secor Rd
Lambertville, MI 48144-9737

Mailing address

4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 473-3561

Other practice location 1

341 Trenton Ave
Findlay, OH 45840-3745
Phone (567) 250-8212

Other practice location 2

417 4th St
Defiance, OH 43512-2605
Phone (419) 785-4660

Other practice location 3

1136 Country Club Rd Unit C
Adrian, MI 49221-8209
Phone (517) 366-5110

Other practice location 4

1100 W Main St
Woodville, OH 43469-9723
Phone (419) 724-5820

Other practice location 5

106 S Lafayette St
South Lyon, MI 48178-1404
Phone (947) 348-1176

Other practice location 6

1070 N Shoop Ave
Wauseon, OH 43567-1821
Phone (419) 330-5200

Other practice location 7

1090 N Shoop Ave
Wauseon, OH 43567-1821
Phone (419) 330-5200

Other identifiers

IdentifierTypeStateIssuer
0164639MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 14, 2026.

{
    "created_epoch": "1765584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1508720525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234299",
            "telephone_number": "419-473-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 SECOR RD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449737",
            "telephone_number": "419-479-5795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 Trenton Ave",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458403745",
            "country_code": "US",
            "telephone_number": "567-250-8212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 4th St",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435122605",
            "country_code": "US",
            "telephone_number": "419-785-4660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1136 Country Club Rd Unit C",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492218209",
            "country_code": "US",
            "telephone_number": "517-366-5110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 W Main St",
            "address_purpose": "LOCATION",
            "city": "Woodville",
            "state": "OH",
            "postal_code": "434699723",
            "country_code": "US",
            "telephone_number": "419-724-5820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 S Lafayette St",
            "address_purpose": "LOCATION",
            "city": "South Lyon",
            "state": "MI",
            "postal_code": "481781404",
            "country_code": "US",
            "telephone_number": "947-348-1176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1070 N Shoop Ave",
            "address_purpose": "LOCATION",
            "city": "Wauseon",
            "state": "OH",
            "postal_code": "435671821",
            "country_code": "US",
            "telephone_number": "419-330-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1090 N Shoop Ave",
            "address_purpose": "LOCATION",
            "city": "Wauseon",
            "state": "OH",
            "postal_code": "435671821",
            "country_code": "US",
            "telephone_number": "419-330-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ROSEMARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-13",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164639",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lambertville, MI

All providers in Lambertville, MI · Physician Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.