Individual provider Active NPI

Bryan Popp, M.D.

  • Obstetrics & Gynecology Physician
  • Ypsilanti, MI
National Provider Identifier
1700990405
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301074449 Issued in MI
Practice address
4940 W Clark Rd
Suite 100
Ypsilanti, MI 48197-0860
Phone
(734) 434-0477
Fax
(734) 434-6240
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301074449 MI Primary

Addresses

Primary practice location

4940 W Clark Rd
Suite 100
Ypsilanti, MI 48197-0860

Mailing address

2100 Commonwealth Blvd
Suite 202
Ann Arbor, MI 48105-1593

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
I20081010000485 MI Practitioner - Obstetrics/Gynecology 6406924901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

4990 W Clark Rd
Ypsilanti, MI 48197-1149

5301 E Huron River Dr
Ypsilanti, MI 48197-1051

5301 McAuley Dr
Ypsilanti, MI 48197-1051

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation Obstetrics & Gynecology Current Accepting new patients
Iha Health Services Corporation Obstetrics & Gynecology CurrentSince Jul 1, 2003 Accepting new patients
Iha Health Services Corporation Obstetrics & Gynecology Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

5333 McAuley Dr
Rm 2110
Ypsilanti, MI 48197
Phone (734) 712-3967

4936 W Clark Rd
Ste 100
Ypsilanti, MI 48197
Phone (734) 434-6200

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

4990 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 572-7500

4940 W Clark Rd
Ste 100
Ypsilanti, MI 48197
Phone (734) 434-0477

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700990405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 COMMONWEALTH BLVD",
            "address_2": "SUITE 202",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 W CLARK RD",
            "address_2": "SUITE 100",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481970860",
            "telephone_number": "734-434-0477",
            "fax_number": "734-434-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPP",
        "first_name": "BRYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301074449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.