Brandon William Ryan

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704257968 Issued in MI

Practice address

8872 Professional Dr Ste B
Cadillac, MI 49601-8482

Phone

(231) 779-0320

NPI assigned

Dec 3, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Associates of Muskegon PCGroup PAC ID 7214908045, 113 clinicians

Northsport Physical Therapy and Rehabilitation P CGroup PAC ID 5294902508, shared by 2 NPIs, 43 clinicians

Great Lakes Orthopaedic Center PCGroup PAC ID 1759371826, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brandon.ryan.1@27291.direct.athenahealth.com

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.

• Great Lakes Orthopaedic Center, P.C.

  • Orthopaedic Surgery Physician
  • Traverse City, MI
  • NPI 1952323453
  Medicare reassignment Care Compare group NPD
• Orthopaedic Associates of Muskegon, PC

  • Orthopaedic Surgery Physician
  • Muskegon, MI
  • NPI 1972566594
  Medicare reassignment Care Compare group

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

• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1710457718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DR STE B",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018482",
            "telephone_number": "231-779-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DR STE B",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018482",
            "telephone_number": "231-779-0320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Lusitana St Ste 502",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132441",
            "country_code": "US",
            "telephone_number": "808-550-4939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "BRANDON",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-03",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "2562",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704257968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn C Ross, LLMSW
• Deanna Joan Rosser, LMSW
• Virginia L Roys, CPRC
• Amie Marie Ruppert, AUD
• Barbara Jo Russ, LMSW
• Elizabeth Whitney Rzepkaalto, MD
• Saginaw Vamc
• Saige Twombly Psychology PLLC
• Samaritas (Lakeview Lutheran Manor)
• Kelley Samuels-Good

• Nurse Practitioner in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.

Verify at the official NPI Registry.