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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5601013560 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toledo Clinic PLLC | Dermatology | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0164639 | Medicaid | OH |
NPI Registry JSON
{
"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
- Bedford Behavioral Health
- Bedford Physical Therapy PC
- Jennifer Bobicz
- Amy Frances Bowman
- James William Brown II
- Taylor Burger
- Hannah Dawn Busdiecker
- Pamela Mae Bush
- Thomasene Byers
- Lisa Calcamuggio
All providers in Lambertville, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.