BRYANT T ITTIARA D.O. NPI 1871829069

NPI Information

  • NPI: 1871829069
  • Provider Name: BRYANT T ITTIARA, D.O.
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18707 ECORSE RD
    ALLEN PARK, MI
    ZIP 48101
  • Phone: (734) 682-3309

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NPI Details

Bryant T Ittiara, D.O. is an interventional pain medicine pain medicine in Allen Park, MI with 18 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Bryant T Ittiara, D.O. NPI is 1871829069. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2008

The provider's business location address is:

18707 ECORSE RD
ALLEN PARK, MI
ZIP 48101-255
Phone: (734) 682-3309
Fax: (734) 682-1488

The NPI 1871829069 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, propofol, 10 mg (HCPCS:J2704)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, midazolam hydrochloride, per 1 mg (HCPCS:J2250)
  • Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance (HCPCS:01938)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance (HCPCS:01937)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance (HCPCS:01940)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes (HCPCS:99153)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Spinal fusion (HCPCS:NAN02)

The enumeration date for this NPI number is 10/23/2009 and was last updated on 1/7/2019.

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
1207L00000XAnesthesiologyL1593593MICHIGANNo
2207LP2900XAnesthesiologyPain Medicine5101017919MICHIGANNo
3208VP0014XPain MedicineInterventional Pain Medicine5101017919MICHIGANYes

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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