Bryan D Sofen (NPI# 1043452139, PAC ID# 5597044750) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1043452139 |
| PAC ID by PECOS | 5597044750 |
| Professional Enrollment ID | I20170808000067 |
| Full Name | Bryan D Sofen |
| Organization Legal Name | ADVANCED DERMATOLOGY OF MICHIGAN PC |
| Address |
16826 Newburgh Rd Livonia MI 48154-1600 |
| Phone Number | 7344648400 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0941511224 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 36700 Woodward Ave, Suite 203, Bloomfield Hills, MI 48304-0930 | 2486475750 | ADVANCED DERMATOLOGY OF MICHIGAN PC |
| 62 S Redmond St, Jackson, WY 83002 | 3077345864 | ADVANCED DERMATOLOGY OF WYOMING, INC |
| 16826 Newburgh Rd, Livonia, MI 48154-1600 | 7344648400 | ADVANCED DERMATOLOGY OF MICHIGAN PC |
| Organization Legal Name | ADVANCED DERMATOLOGY OF MICHIGAN PC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam C Schmid | Nurse Practitioner | Advanced Dermatology of Michigan PC | 44003 Partridge Creek Blvd, Clinton Township, MI 48038-0002 |
| Michelle K Bruner | Dermatology | Advanced Dermatology of Michigan PC | 1500 Eureka Rd, Wyanodtte, MI 48192-6103 |
| James J Simons Jr. | Dermatology | Advanced Dermatology of Michigan PC | 999 6th St, Traverse City, MI 49684-2301 |
| Anna J Mccaughna | Nurse Practitioner | Advanced Dermatology of Michigan PC | 3254 E Midland Rd, Bay Shores, Bay City, MI 48706-2835 |
| Brian H Gelb | Emergency Medicine | Advanced Dermatology of Michigan PC | 4170 Cedar Bluff Dr, Petoskey, MI 49770-7627 |
| Mary R Stoll | Physician Assistant | Advanced Dermatology of Michigan PC | 13450 E 12 Mile Rd, Warren, MI 48088-3671 |
| Neldagae S Chisa | Dermatology | Advanced Dermatology of Michigan PC | 36700 Woodward Ave, Suite 203, Bloomfield Hills, MI 48304-0930 |
| Therese A Birkam-jade | Physician Assistant | Advanced Dermatology of Michigan PC | 13450 E 12 Mile Rd, Warren, MI 48088-3671 |
| Jennifer A Meitzner | Nurse Practitioner | Advanced Dermatology of Michigan PC | 13450 E 12 Mile Rd, Warren, MI 48088-3671 |
| Ashley Marie Aldridge | Physician Assistant | Advanced Dermatology of Michigan PC | 26400 W 12 Mile Rd, Suite 150, Southfield, MI 48034-1771 |
| Street Address |
16826 NEWBURGH RD |
| City | LIVONIA |
| State | MI |
| Zip | 48154-1600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Gorski | Plastic and Reconstructive Surgery | Michigan Surgery Specialists PC | 37560 Professional Ctr Dr, Suite 105a, Livonia, MI 48154-1114 |
| David E Karle | Family Medicine | Ascension Providence Hospital | 37650 Professional Ctr Dr, Suite 1010a, Livonia, MI 48154-1117 |
| Dawn M Brown | Clinical Social Worker | Stonebrook Counseling Associates Pllc | 37799 Professional Ctr Dr, Suite 106, Livonia, MI 48154-1123 |
| Nada L Whitfield | Clinical Social Worker | Stonebrook Counseling Associates Pllc | 37799 Professional Ctr Dr, Suite 106, Livonia, MI 48154-1123 |
| Judith A Anderson | Clinical Social Worker | Stonebrook Counseling Associates Pllc | 37799 Professional Ctr Dr, Suite 106, Livonia, MI 48154-1123 |
| Raymond F Gadowski | Cardiovascular Disease (cardiology) | Advanced Cardiovascular Health Specialists PC | 37799 Professional Ctr Dr, Suite 105, Livonia, MI 48154-1123 |
| Nancy D Petrides | Clinical Social Worker | Stonebrook Counseling Associates Pllc | 37799 Professional Ctr Dr, Suite 106, Livonia, MI 48154-1123 |
| Salwan P Anton | Cardiovascular Disease (cardiology) | Advanced Cardiovascular Health Specialists PC | 37799 Professional Ctr Dr, Suite 105, Livonia, MI 48154-1123 |
| Coye T Carver | Ophthalmology | Eye Clinic of Livonia, P.C. | 37650 Professional Ctr Dr, Suite 125a, Livonia, MI 48154-1139 |
| Michael A Mandell | Ophthalmology | Eye Clinic of Livonia, P.C. | 37650 Professional Ctr Dr, Suite 125a, Livonia, MI 48154-1139 |
| Find all physicians in zip 48154 | |||
| City | LIVONIA |
| Zip Code | 48154 |
| Specialty | DERMATOLOGY |
| City + Specialty | LIVONIA + DERMATOLOGY |
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| 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.