Active NPI
Bryan Popp, M.D.
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301074449
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Obstetrics & Gynecology | Current | Accepting new patients |
| Iha Health Services Corporation | Obstetrics & Gynecology | Current | 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.
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1124425285
-
- Obstetrics & Gynecology Physician
- Ann Arbor, MI
- NPI 1235286840
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.