Provider Demographics
NPI:1083880892
Name:BRYANT HEALTH & CONSULTING, PLLC
Entity Type:Organization
Organization Name:BRYANT HEALTH & CONSULTING, PLLC
Other - Org Name:BRYANT HEALTH & CONSULTING
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVERETT
Authorized Official - Middle Name:V
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:866-379-2235
Mailing Address - Street 1:31974 LAHSER RD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48009
Mailing Address - Country:US
Mailing Address - Phone:866-379-2235
Mailing Address - Fax:
Practice Address - Street 1:31974 LAHSER RD
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:MI
Practice Address - Zip Code:48025-3647
Practice Address - Country:US
Practice Address - Phone:866-379-2235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301060301207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty