MR. BRYAN GRANGER (NPI# 1073974234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073974234 |
| Entity Type | Individual |
| Full Name | MR. BRYAN GRANGER |
| Credential | LPC |
| Practice Address |
5500 Auto Club Dr Ste 350 Dearborn MI 48126-2779 |
| Practice Telephone | 3133172000 |
| Practice Fax Number | 3133172090 |
| Mailing Telephone | 3133172000 |
| Mailing Fax Number | 3133172090 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401014325 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497853782 | Bryan Granger | Optometrist | 1612 E Main St, Suite C, New Iberia, LA 70560-4065 | 2006-09-20 |
| Street Address |
5500 AUTO CLUB DR STE 350 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-2779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952730624 | Sanaa Nadim Haidar | Counselor | 835 Mason St, Dearborn, MI 48124-2231 | 2013-11-04 |
| 1346418944 | Bernadine Geraldine Mistor | Counselor | 7466 Calhoun St, Dearborn, MI 48126-1433 | 2008-02-15 |
| 1528240280 | Damita Jo Harris | Counselor | 1800 Grindley Park St, Suite 1, Dearborn, MI 48124-2553 | 2007-12-04 |
| 1194324186 | I.m.a.g.e. Counseling Services | Counselor | 22190 Garrison St Ste 204, Dearborn, MI 48124-2235 | 2020-10-20 |
| 1689280182 | Tori Andrews | Counselor | 835 Mason St Ste B220, Dearborn, MI 48124-2262 | 2020-09-20 |
| 1295340362 | Lina Bazzi | Counselor | 835 Mason St Ste B220, Dearborn, MI 48124-2262 | 2020-09-15 |
| 1841802469 | Corryn Helen Jackson | Counselor | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-08-17 |
| 1114551033 | Paige Kristine Rutkowski | Counselor | 22190 Garrison St Ste 204, Dearborn, MI 48124-2235 | 2020-02-29 |
| 1043795628 | Lisa Michelle Green | Counselor | 835 Mason St Ste B220, Dearborn, MI 48124-2262 | 2018-09-28 |
| 1578047734 | John Glen Flood I | Counselor | 835 Mason St Ste B220, Dearborn, MI 48124-2262 | 2018-09-23 |
| Find all providers in DEARBORN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.