JUDITH BRYSK MD PLLC NPI 1093982241

NPI Information

  • NPI: 1093982241
  • Provider Name: JUDITH BRYSK MD PLLC
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • Address: 25865 W. 12 MILE RD.
    SUITE A101
    SOUTHFIELD, MI
    ZIP 48034
  • Phone: (248) 948-1990

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NPI Details

JUDITH BRYSK MD PLLC is a gynecology obstetrics gynecology in Southfield, MI. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee JUDITH BRYSK MD PLLC NPI is 1093982241. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25865 W. 12 MILE RD.
SUITE A101
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 948-1990
Fax: (248) 948-9158

The provider's authorized official is Judith Gail Brysk .
The authorized official title is Md and has the following contact phone number (248) 948-1990.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 4/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecology4301049453MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B45229MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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