# BRYAN K SWILLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861409302
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 5101010362 | MI | Yes |
| 208D00000X | General Practice Physician | BS010362 | MI | Yes |
| 261QM2800X | Methadone Clinic | 5101010362 | MI | — |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 08/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000001401 | CAPE HEALTH PLAN | MI |
| 01 | — | 0856308604 | BCBS | MI |
| 05 | — | 114402195 | — | MI |
| 01 | — | 132616 | CARE CHOICES | MI |