Healthcare Provider Details

I. General information

NPI: 1013682954
Provider Name (Legal Business Name): BRIAN EMRYS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2021
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2935 HEALTH PKWY
MOUNT PLEASANT MI
48858-8931
US

IV. Provider business mailing address

2935 HEALTH PKWY
MOUNT PLEASANT MI
48858-8931
US

V. Phone/Fax

Practice location:
  • Phone: 989-772-1609
  • Fax: 989-773-6279
Mailing address:
  • Phone: 989-772-1609
  • Fax: 989-773-6279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038013741
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: