MEDICARE: BRANISLAV D BEHAN MD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	BB067457	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00142022	OTHER	MI	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2000931221	OTHER	MI	BCN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	2000931221	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1376728576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRANISLAV D BEHAN MD PLLC

Provider Business Mailing Address
First Line	:	2117 16TH ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-7607
Country	:	US
Telephone Number	:	989-895-9500
Fax Number	:	989-895-9600

Provider Business Practice Location Address
First Line	:	2117 16TH ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-7607
Country	:	US
Telephone Number	:	989-895-9500
Fax Number	:	989-895-9600

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. BRANISLAV D BEHAN
Credential	:	MD
Telephone Number	:	989-895-9500

Provider Enumeration Date	:	01/07/2008
Last Update Date	:	06/08/2015

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