Healthcare Provider Details

I. General information

NPI: 1831571389
Provider Name (Legal Business Name): DAVID BRYSKA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2015
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BYRON CENTER AVE SW
WYOMING MI
49519-9606
US

IV. Provider business mailing address

985 GEZON PKWY SW
WYOMING MI
49509-9563
US

V. Phone/Fax

Practice location:
  • Phone: 616-252-3282
  • Fax:
Mailing address:
  • Phone: 616-252-3282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number4301107871
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number4301107871
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: