NPIMap

Organization Active NPI

Michael Bryan, MD Facog PLLC

  • Obstetrics & Gynecology Physician
  • Glendale, AZ
National Provider Identifier
1992111025
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
37126 Issued in AZ
Legal business name
MICHAEL BRYAN, MD FACOG PLLC
Practice address
5310 W Thunderbird Rd Ste 308
Glendale, AZ 85306-4710
Phone
(623) 412-2229
Fax
(602) 314-5843
NPI assigned
Jul 9, 2014
Last updated
Jul 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Dr. Michael Conrad Bryan, MDNPI 1720278666
Title
Physician / Owner
Phone
(623) 256-4527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 37126 AZ Primary

Addresses

Primary practice location

5310 W Thunderbird Rd Ste 308
Glendale, AZ 85306-4710

Mailing address

5310 W Thunderbird Rd Ste 308
Glendale, AZ 85306-4710
Phone (623) 412-2229

Other identifiers 1

IdentifierTypeStateIssuer
411665MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1992111025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 W THUNDERBIRD RD STE 308",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064710",
            "telephone_number": "623-412-2229",
            "fax_number": "602-314-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 W THUNDERBIRD RD STE 308",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064710",
            "telephone_number": "623-412-2229",
            "fax_number": "602-314-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BRYAN, MD FACOG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "623-256-4527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "37126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411665",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.