| Everett V Bryant Md Pllc | |
|
6 Parklane Blvd 436 Dearborn MI 48126-2696 | |
| (313) 584-1940 | |
| (313) 584-1945 |
| Full Name | Everett V Bryant Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6 Parklane Blvd, Dearborn, Michigan |
| Authorized Official Name and Position | Everett Bryant (MD) |
| Authorized Official Contact | 3135841940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Everett V Bryant Md Pllc 6 Parklane Blvd 436 Dearborn MI 48126-2696 Ph: (313) 584-1940 | Everett V Bryant Md Pllc 6 Parklane Blvd 436 Dearborn MI 48126-2696 Ph: (313) 584-1940 |
| NPI Number | 1306992201 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 11/06/2014 |
| Medicare PECOS PAC ID | 4284697194 |
|---|---|
| Medicare Enrollment ID | O20041110001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306992201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | EB060301 (Michigan) | Primary |
| Provider Name | Everett V Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982750881 PECOS PAC ID: 9436112356 Enrollment ID: I20041115000396 |
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