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

Dr. Bryan Jon Pack, MD

Individual provider Orthopaedic Surgery Physician · NPI 1295944239

Dr. Bryan Jon Pack, MD is an Orthopedic Surgery in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 2005, 21 years ago. Practices with Henry Ford Health System, a 2,540-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
21
Trained at
Wayne State University School of Medicine
Licensed in
IL, MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

350 Lafayette Ave SE 4th Fl
Grand Rapids, MI 49503-4656
Phone: (616) 459-9404
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 4301086174 (MI)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 036-125552 (IL)

Record details

NPI number1295944239
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESMarch 21, 2014

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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