What is Bryan Thacker's NPI number?

Bryan Thacker's National Provider Identifier (NPI) is 1396055133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Bryan Thacker's specialty?

Bryan Thacker is listed in the NPPES registry with a primary specialty of Perfusionist (Technologists, Technicians & Other Technical Service Providers).

Where is Bryan Thacker located?

Bryan Thacker's practice location on file with NPPES is 31330 Schoolcraft Rd, Livonia, MI 48150-2041.

What is Bryan Thacker's phone number?

The practice phone number listed in the NPPES registry for Bryan Thacker is (734) 525-9712.

Is Bryan Thacker's NPI active?

Yes — Bryan Thacker's NPI (1396055133) is active in the NPPES registry as of the last update on 2010-10-14.

IndividualActive

Bryan Thacker, CCP

NPI 1396055133 · Perfusionist · Livonia, MI

Bryan Thacker, CCP is a Perfusionist provider in Livonia, MI (NPI 1396055133).

Provider details

NPI number: 1396055133
Entity type: Individual
Primary specialty: PerfusionistTechnologists, Technicians & Other Technical Service Providers
Credential: CCP
Sex: Male
Sole proprietor: No

Specialties & taxonomies

PerfusionistPrimary242T00000X
Technologists, Technicians & Other Technical Service Providers

Profile Score

Detailed profile(76/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

31330 Schoolcraft Rd

Ste 200

Livonia, MI 48150-2041

Phone: (734) 525-9712

Street-level locationGet directions

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Mailing address