Bryan C West (NPI# 1407826241, PAC ID# 4688657794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1407826241 |
| PAC ID by PECOS | 4688657794 |
| Professional Enrollment ID | I20040610000282 |
| Full Name | Bryan C West |
| Organization Legal Name | SHORES PODIATRY ASSOCIATES PC |
| Address |
20905 E 12 Mile Rd Suite 100 Roseville MI 48066-6501 |
| Phone Number | 5867723500 |
| Gender | M |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7012997893 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230269 | BEAUMONT HOSPITAL, TROY |
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| 230047 | HENRY FORD MACOMB HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6501 | 5867723500 | SHORES PODIATRY ASSOCIATES PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% |
| Organization Legal Name | SHORES PODIATRY ASSOCIATES PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Richard Mastay | Podiatry | Shores Podiatry Associates PC | 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6501 |
| Michelle M Deyoung | Podiatry | Shores Podiatry Associates PC | 15959 Hall Rd, Suite 109, Macomb, MI 48044-5364 |
| Kevan Kreitman | Podiatry | Shores Podiatry Associates PC | 15959 Hall Rd, Suite 109, Macomb, MI 48044-5364 |
| Karen Potchynok-lund | Podiatry | Shores Podiatry Associates PC | 15959 Hall Rd, Suite 109, Macomb, MI 48044-5364 |
| Street Address |
20905 E 12 MILE RD SUITE 100 |
| City | ROSEVILLE |
| State | MI |
| Zip | 48066-6501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Richard Mastay | Podiatry | Shores Podiatry Associates PC | 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6501 |
| Aliza Ancier | Physical Therapy | Complete Rehab Services, Inc | 20905 E 12 Mile Rd, Suite 200, Roseville, MI 48066-6501 |
| Renee M Cottrell | Physical Therapy | Complete Rehab Services, Inc | 20905 E 12 Mile Rd, Suite 200, Roseville, MI 48066-6501 |
| Ancilla Walker | Physical Therapy | Complete Rehab Services, Inc | 20905 E 12 Mile Rd, Roseville, MI 48066-6501 |
| Chad D Shafer | Physical Therapy | Complete Rehab Services, Inc | 20905 E 12 Mile Rd, Roseville, MI 48066-6501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Stern | Psychologist, Clinical | 18245 Ten Mile Rd, Suite 140, Roseville, MI 48066 | |
| Gulshan Chandna | Occupational Therapy | Theramax Rehab Inc | 18790 E 13 Mile Rd G, Roseville, MI 48066-1383 |
| Ruchika Chandna | Occupational Therapy | Theramax Rehab Inc | 18790 E 13 Mile Rd G, Roseville, MI 48066-1383 |
| Christie Ann Schunemann | Nurse Practitioner | Mclaren Macomb | 30550 Utica Rd, Roseville, MI 48066-1528 |
| Anil Singh | Internal Medicine | Mclaren Macomb | 30550 Utica Rd, Roseville, MI 48066-1528 |
| Cari L Mcclellan | Physical Therapy | Farmington Physical Therapy Inc | 30785 Gratiot Ave, Roseville, MI 48066-1712 |
| Ambika Kunnath Puliyakote | Physical Therapy | Farmington Physical Therapy Inc | 30785 Gratiot Ave, Roseville, MI 48066-1712 |
| Lisa S Lee | Clinical Social Worker | Open Heart Community Care Services Inc | 28491 Utica Rd, Roseville, MI 48066-2593 |
| Cora Coleman | Clinical Social Worker | Open Heart Community Care Services Inc | 28491 Utica Rd, Roseville, MI 48066-2593 |
| Jennifer D Noricks | Clinical Social Worker | 28491 Utica Rd, Roseville, MI 48066-2593 | |
| Find all physicians in zip 48066 | |||
| City | ROSEVILLE |
| Zip Code | 48066 |
| Specialty | PODIATRY |
| City + Specialty | ROSEVILLE + PODIATRY |
Please comment or provide details below to improve the information on Bryan C West.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.