Bryant T Ittiara, DO
Bryant T Ittiara, DO is a Pain Management in Allen Park, Michigan. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2008, 18 years ago. Practices with Physician Care Solutions PC, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.
- Years since qualifying
- 18
- Trained at
- Lake Erie College of Osteopathic Medicine, Erie
- Licensed in
- MI
- In the registry since
- 2009
- Specialties on file
- 3
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
18707 Ecorse RdAllen Park, MI 48101-2255
Phone: (734) 682-3309
Fax: (734) 682-1488
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X · Licence 5101017919 (MI) |
|---|---|
| Anesthesiology Physician | Taxonomy 207L00000X · Licence L1593593 (MI) |
| Pain Medicine (Anesthesiology) Physician | Taxonomy 207LP2900X · Licence 5101017919 (MI) |
Record details
| NPI number | 1871829069 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | Yes |
| NPI enumerated | October 23, 2009 |
| Last updated in NPPES | January 7, 2019 |
| Mailing address | 416 James Cir, Royal Oak, MI 48067-4545 |
Medicare enrollment
| Medicare specialty | PAIN MANAGEMENT |
|---|---|
| Medical school | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE |
| Graduated | 2008 (18 years in practice) |
| Group practice | Physician Care Solutions Pc — 23 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |