BRADLEY W MERRILLS MD NPI 1861453359

NPI Information

NPI: 1861453359
Provider Name: BRADLEY W MERRILLS, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3175 W PROFESSIONAL DRIVE
BAY CITY, MI
ZIP 48706
Phone: (989) 667-3777
Get Directions

Bradley W Merrills, MD is an obstetrics gynecology in Bay City, MI with 31 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Bradley W Merrills, MD NPI is 1861453359. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

3175 W PROFESSIONAL DRIVE
BAY CITY, MI
ZIP 48706-823
Phone: (989) 667-3777
Fax: (989) 667-9991

The NPI 1861453359 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 4/1/2006 and was last updated on 4/9/2021.

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	207V00000X	Obstetrics & Gynecology		4301061522	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	150962	OTHER		GREAT LAKES HEALTH PLAN
2	381908328	OTHER		HCAP
3	0998824	OTHER		BAY COUNTY HEALTH PLAN
4	0998824	OTHER		HEALTHPLUS
5	4762073	OTHER		MOLINA HEALTH CARE PROFES
6	4762073	MEDICAID	MICHIGAN
7	4762091	OTHER		MOLINA HEALTH CARE MONITO
8	073	OTHER	MICHIGAN	COMMUNITY CHOICE
9	1017360	OTHER		MCLAREN HEALTH PLAN PROFE
10	4762091	MEDICAID	MICHIGAN
11	700G361110	OTHER		BLUE CROSS
12	1017362	OTHER		MCLAREN HEALTHPLAN MONITO
13	5932486	OTHER		AETNA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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