JENNIFER BRYCE PA-C NPI 1265551097

NPI Information

NPI: 1265551097
Provider Name: JENNIFER BRYCE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1 WILLIAM CARLS DR
COMMERCE TOWNSHIP, MI
ZIP 48382
Phone: (248) 937-4764
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Jennifer Bryce, PA-C is a medical physician assistant in Commerce Township, MI with 30 years of experience. Jennifer Bryce, PA-C NPI is 1265551097. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 WILLIAM CARLS DR
COMMERCE TOWNSHIP, MI
ZIP 48382-201
Phone: (248) 937-4764
Fax: (248) 937-4729

The NPI 1265551097 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 enumeration date for this NPI number is 3/29/2007 and was last updated on 6/30/2014.

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
1	363AM0700X	Physician Assistant	Medical	5601002383	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	500H274490	OTHER	MICHIGAN	BCBSM GROUP PIN MHP
2	MI4989	OTHER	MICHIGAN	MEDICARE GROUP PTAN MHP
3	1265551097	MEDICAID	MICHIGAN
4	M89900065	MEDICARE PIN	MICHIGAN
5	DS0605	OTHER	MICHIGAN	RAIL ROAD MEDICARE GROUP PIN MHP
6	MI4989416	OTHER	MICHIGAN	MEDICARE PTAN MHP
7	0M89900	MEDICARE PIN	MICHIGAN

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: 5/5/2024

NPI Synchronization or Removal

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