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BRYCE SCHUPBACH
NPI 1215316054
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 27, 2015PECOS Enrolled
51 ADELAIDE ST, DETROIT, MI 48201(248) 462-1289 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryce Schupbach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYCE SCHUPBACH (NPI 1215316054) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215316054
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRYCE SCHUPBACH
Location Address51 ADELAIDE STDetroit, MI 48201-3110
Mailing Address51 Adelaide StDetroit, MI 48201-3110 · (248) 462-1289
Phone(248) 462-1289
Sole ProprietorYes
Enumeration DateMay 27, 2015
✔ NPI 1215316054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
51 ADELAIDE ST, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryce Schupbach is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryce Schupbach's NPI number?

The NPI number for Bryce Schupbach is 1215316054. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Where is Bryce Schupbach located?

Bryce Schupbach practices at 51 Adelaide St, Detroit, MI 48201. The listed phone number is (248) 462-1289.

What is Bryce Schupbach's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bryce Schupbach enrolled in Medicare?

Yes. Bryce Schupbach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryce Schupbach was last updated on May 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.