Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bryan Micheal Goetz

Individual provider Physician Assistant · NPI 1629369061

Bryan Micheal Goetz is a Physician Assistant in Muskegon, Michigan. Qualified in 2011, 15 years ago. Practices with Edward W Sparrow Hospital Association, a 694-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
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Practice location Address checks out

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone: (231) 739-9341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006008 (MI)

Record details

NPI number1629369061
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 19, 2011
Last updated in NPPESMarch 28, 2013
Mailing address11716 N Jerome Rd, Saint Louis, MI 48880-9724

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Edward W Sparrow Hospital Association — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Muskegon