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

Ryan Timothy Bly, MD

Individual provider Surgery Physician · NPI 1295170231

Ryan Timothy Bly, MD is a General Surgery in Kalamazoo, Michigan. Qualified in 2012, 14 years ago. Practices with Surgical Associates of Neenah, SC, a 29-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2013
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

1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone: (269) 337-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 69044 (WI)

Record details

NPI number1295170231
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2013
Last updated in NPPESJuly 13, 2018
Mailing address100 Theda Clark Medical Plz, Ste 400, Neenah, WI 54956-2763

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Surgical Associates Of Neenah, S.C. — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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