Jeffrey D Bryant

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802089149 Issued in MI

Practice address

1841 N. Perry St
Pontiac, MI 48340

Phone

(248) 745-4900

Fax

(248) 377-2676

NPI assigned

Apr 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• CNS Healthcare

  • Psychiatry Physician
  • Novi, MI
  • NPI 1770538068
  NPD (past)

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1669907689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38855 HILLS TECH DR STE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313428",
            "telephone_number": "248-745-4900",
            "fax_number": "248-377-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 N. PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48340",
            "telephone_number": "248-745-4900",
            "fax_number": "248-377-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802089149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6802089149",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Bruce, RDN
• John Sebastian Brueggemann
• Michael Bruford
• Mark Bruni, M.D.
• Brenda Kay Bryant, LMSW
• Yakira Brydie
• Sarah Bryson, LMSW
• Mary Ann Bucalos, MA, LLPC, NCC
• Marieanne - Buchanan, LMSW
• Tricia Lynn Buchanan, CRNA

• Social Worker in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.