NPI Details
Bryan S Judge, MD is a medical toxicology emergency medicine in Grand Rapids, MI with 28 years of experience. The provider is medical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings and environmental and workplace exposures. Bryan S Judge, MD NPI is 1255348173. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1998
The provider's business location address is:
100 MICHIGAN ST NE
GRAND RAPIDS, MI
ZIP 49503-560
Phone: (616) 391-1680
The NPI 1255348173 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Emergency department visit for life threatening or functioning severity (HCPCS:99285)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
- Emergency department visit for problem of high severity (HCPCS:99284)
- Anesthesia for x-ray or radiation therapy (HCPCS:01922)
The enumeration date for this NPI number is 8/2/2006 and was last updated on 2/21/2025.
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 |
| 1 | 207L00000X | Anesthesiology | | 4301072294 | MICHIGAN | No |
| 2 | 207PE0004X | Emergency Medicine | Emergency Medical Services | 4301072294 | MICHIGAN | No |
| 3 | 207PE0005X | Emergency Medicine | Undersea and Hyperbaric Medicine | 4301072294 | MICHIGAN | No |
| 4 | 207PT0002X | Emergency Medicine | Medical Toxicology | 4301072294 | MICHIGAN | Yes |
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 |
| 1 | 930125251 | OTHER | MICHIGAN | RAILROAD MEDICARE |
| 2 | 1255348173 | MEDICAID | MICHIGAN | |
| 3 | P00643475 | OTHER | MICHIGAN | RAILROAD MEDICARE |