Individual provider Active NPI

Bryan Adam Hnatio, PA-C

  • Medical Physician Assistant
  • West Bloomfield, MI
National Provider Identifier
1992202790
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601008438 Issued in MI
Practice address
6525 W Maple Rd Ste 101E
West Bloomfield, MI 48322-4302
Phone
(248) 960-4245
NPI assigned
Apr 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601008438 MI
Medical Physician Assistant 363AM0700X 5601008438 MI Primary

Addresses

Primary practice location

6525 W Maple Rd Ste 101E
West Bloomfield, MI 48322-4302

Mailing address

18000 W 9 Mile Rd Ste 200
Southfield, MI 48075-4020
Phone (248) 336-4000

Other practice location 1

20901 W 7 Mile Rd
Detroit, MI 48219-1904
Phone (313) 564-5510

Other practice location 2

1 William Carls Dr
Commerce Township, MI 48382-2201
Phone (248) 937-3300

Other identifiers 1

IdentifierTypeStateIssuer
2626671MedicaidMI

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190523001576 MI Practitioner - Physician Assistant 6002159522 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Jun 3, 2026 Accepting new patients

Locations

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

29829 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 353-3500

6525 W Maple Rd
Ste 101E
West Bloomfield, MI 48322
Phone (248) 489-4410

Interoperability endpoints

  • Direct secure messaging: bryan.hnatio.1@33060.direct.athenahealth.com
  • Direct secure messaging: bhnatio434114@direct.hfhs.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1992202790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 W 9 MILE RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754020",
            "telephone_number": "248-336-4000",
            "fax_number": "248-336-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 W MAPLE RD STE 101E",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224302",
            "telephone_number": "248-960-4245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20901 W 7 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482191904",
            "country_code": "US",
            "telephone_number": "313-564-5510",
            "fax_number": "248-336-9137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 William Carls Dr",
            "address_purpose": "LOCATION",
            "city": "Commerce Township",
            "state": "MI",
            "postal_code": "483822201",
            "country_code": "US",
            "telephone_number": "248-937-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HNATIO",
        "first_name": "BRYAN",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008438",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601008438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2626671",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.