NPI Details
DR. Bryan Jon Pack, MD is an orthopaedic surgery in Grand Rapids, MI with 21 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Bryan Jon Pack, MD NPI is 1295944239. 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:2005
The provider's business location address is:
350 LAFAYETTE AVE SE
4TH FLOOR
GRAND RAPIDS, MI
ZIP 49503-656
Phone: (616) 459-9404
The NPI 1295944239 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.
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- X-ray of hip, 2-3 views (HCPCS:73502)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- X-ray of knee, 4 or more views (HCPCS:73564)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- X-ray for bone length assessment (HCPCS:77073)
- X-ray of knee, 3 views (HCPCS:73562)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
- Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Replacement of knee joint, both sides of knee (HCPCS:27447)
- X-ray of both hips, minimum of 5 views (HCPCS:73523)
- Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
- X-ray of knee, 1-2 views (HCPCS:73560)
- Hip replacement (HCPCS:NAN09)
- Knee replacement (HCPCS:NAN06)
The enumeration date for this NPI number is 5/22/2007 and was last updated on 3/21/2014.
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 | 207X00000X | Orthopaedic Surgery | | 036-125552 | ILLINOIS | No |
| 2 | 207X00000X | Orthopaedic Surgery | | 4301086174 | 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 | M51600017 | MEDICARE PIN | MICHIGAN | |
| 2 | 1295944239 | MEDICAID | MICHIGAN | |
