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

Dr. Brian Allen Lishawa, MD

Individual provider Internal Medicine Physician · NPI 1154334399

Dr. Brian Allen Lishawa, MD is an Internal Medicine in Traverse City, Michigan. Graduated from Vanderbilt University School of Medicine in 2009, 17 years ago. Practices with Grand Traverse Physician Services PC, a 123-clinician group and accepts Medicare assignment. Licensed in Michigan and New York.

Years since qualifying
17
Trained at
Vanderbilt University School of Medicine
Licensed in
MI, NY
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1105 Sixth St
Traverse City, MI 49684-2345
Phone: (231) 922-9270
Fax: (231) 922-9271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence L 246-127 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence L 246-127 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301093912 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301093912 (MI)

Record details

NPI number1154334399
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESJune 15, 2009

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Grand Traverse Physician Services Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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