MEDICARE: BRYSON JAMES PACHECO PA-C

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	363A00000X	Physician Assistant	5601011859	MI

General Provider Information

NPI Number	:	1093591091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYSON JAMES PACHECO PA-C

Provider Business Mailing Address
First Line	:	6690 CROSSINGS DR SE STE C
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49508-7394
Country	:	US
Telephone Number	:	616-600-1885
Fax Number	:

Provider Business Practice Location Address
First Line	:	6690 CROSSINGS DR SE STE C
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49508-7394
Country	:	US
Telephone Number	:	616-600-1885
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2023
Last Update Date	:	04/21/2026

Similar Medicare Providers

1437693660 — LEIDY FOURNIER PA-C
Practice Location Address:

6690 CROSSINGS DR SE STE C
GRAND RAPIDS, MI
49508-7394

Practice Phone: 616-600-1885
Practice Fax:

1932682044 — DAVID BARNEY PLLC
Practice Location Address:

6690 CROSSINGS DR SE STE C
GRAND RAPIDS, MI
49508-7394

Practice Phone: 616-600-1885
Practice Fax:

1841135654 — LYRA LEE
Practice Location Address:

2013 EASTCASTLE DR SE STE B
GRAND RAPIDS, MI
49508-8873

Practice Phone: 616-888-1120
Practice Fax:

1225973605 — KAYLEIGH MARIE SCHULZ
Practice Location Address:

1545 68TH ST SE STE 201
GRAND RAPIDS, MI
49508-7896

Practice Phone: 616-253-6097
Practice Fax:

1033054408 — MISS KHALIDHA DAVIS
Practice Location Address:

2013 EASTCASTLE DR SE STE B
GRAND RAPIDS, MI
49508-8873

Practice Phone: 616-888-1120
Practice Fax:

1659217503 — JULIA MARIE WROBEL
Practice Location Address:

2013 EASTCASTLE DR SE STE B
GRAND RAPIDS, MI
49508-8873

Practice Phone: 616-888-1120
Practice Fax:

Directions to “ BRYSON JAMES PACHECO PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.