BRYCE XAVIER BREDELL


Address: 6071 E Outer Dr, Detroit, MI 48234
Phone: 3139661020

BRYCE XAVIER BREDELL (NPI# 1205332483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205332483
Entity Type Individual
Full Name BRYCE XAVIER BREDELL
Credential MD
Practice Address 6071 E Outer Dr
Detroit
MI 48234
Mailing Address 943 Nottingham Rd
Grosse Pointe Park
MI 48230-1733
Practice Telephone 3139661020
Practice Fax Number 3139661024
Mailing Telephone 7346454000
Enumeration Date 2018-04-05
Last Update Date 2018-04-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 6071 E OUTER DR
City DETROIT
State MI
Zip Code 48234

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538668595 Constance Durden Social Worker 19940 Conant Suite B, Detroit, MI 48234 2018-02-06
1891217717 Donald Williams Case Manager/Care Coordinator 19133 Hasse, Detroit, MI 48234 2017-07-12
1063865830 Gloria A. Love Psychologist 19677 Revere, Detroit, MI 48234 2016-07-18
1972977429 Conant Garden Dental Center Dds PC Dentist 2430 E Seven Mile, Suite 6, Detroit, MI 48234 2015-11-20
1861878787 Kenyatta Philips Chore Provider 20119 Helen St, Detroit, MI - MICHIGAN 48234 2015-08-03
1083977144 Edward Powell Counselor 19436 Packard Street, Detroit, MI 48234 2012-06-22
1487931325 Sonia Renee George Case Manager/Care Coordinator 8331 Yolanda St., Detroit, MI 48234 2011-11-07
1851682215 Detroit Rescue Mission Ministries Substance Abuse Rehabilitation Facility 19211 Anglin, Detroit, MI 48234 2011-04-20
1558662742 Tenille Daniel Home Health 17210 Runyon, Detroit, MI 48234 2010-11-04
1891959607 Janis Brantley Registered Nurse 5400 East 7 Mile, Northeast Health Center Room 17, Detroit, MI 48234 2008-07-11
Find all providers in zip 48234

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013514702 Leeza Fortner Student in an Organized Health Care Education/Training Program 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 2020-10-06
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912516790 Omar Choudhury Student in an Organized Health Care Education/Training Program Henroy Ford Hospital, Medical Education Department ., 2799 W. Grand Boulevard, Detroit, MI 48202-2608 2020-07-28
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1932725959 Devonn Eli Israil Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St Rm 2d, Detroit, MI 48201-2153 2020-06-25
1457976292 Ali Nauman Khan Student in an Organized Health Care Education/Training Program Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 2020-06-08
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
Find all providers in DETROIT

Competitor

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City DETROIT
Zip Code 48234

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Dataset Information

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.

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