Individual provider Active NPI

Brian S Hanna, D.O.

  • Surgery Physician
  • Alpena, MI
National Provider Identifier
1962496703
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
BH011061 Issued in MI
Practice address
311 Long Rapids Plaza
Alpena, MI 49707-1315
Phone
(989) 354-5717
Fax
(989) 356-6526
NPI assigned
Sep 8, 2005
Last updated
Mar 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BH011061 MI Primary

Addresses

Primary practice location

311 Long Rapids Plaza
Alpena, MI 49707-1315

Mailing address

311 Long Rapids Plaza
Alpena, MI 49707-1315
Phone (989) 354-5717

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
I20100223000764 MI Practitioner - General Surgery 0749240935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical GroupGroup PAC ID 4981501939, 174 clinicians

Practice addresses (Care Compare)

311 Long Rapids PLZ
Alpena, MI 49707-1375
Phone (989) 354-5717

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy126
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux102
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BH011061MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alpena CurrentSince Aug 21, 2017 Accepting new patients
Mymichigan Medical Group Surgery CurrentSince Aug 21, 2017 Accepting new patients
Mymichigan Medical Group Past Accepting new patients
Alpena Medical Arts PC PastSince Jan 1, 1992 Accepting new patients

Locations

211 Long Rapids Rd
Alpena, MI 49707
Phone (989) 354-2142

311 Long Rapids Plz
Alpena, MI 49707
Phone (517) 354-5717

602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

Interoperability endpoints

  • Direct secure messaging: bhanna59722@mymichiganhealth.midirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1962496703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LONG RAPIDS PLAZA",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071315",
            "telephone_number": "989-354-5717",
            "fax_number": "989-356-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LONG RAPIDS PLAZA",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071315",
            "telephone_number": "989-354-5717",
            "fax_number": "989-356-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "BRIAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "BH011061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.