BRYAN LEE HERDER (O.T.) – Occupational Therapist, NPI 1316169303

BRYAN LEE HERDER (O.T.) is a healthcare provider. based in Portage, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials O.T.. They hold a License No. 5201005556 (MI). The NPI Number for BRYAN LEE HERDER (O.T.) is 1316169303

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN LEE HERDER (O.T.)
NPI
1316169303
Phone
(269) 321-0929
Address
7971 MOORSBRIDGE RD
Enumeration Date
2 May 2007
Last Update Date
24 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2699790874
Graduation Year
2000 (26 years ago)
PAC ID
6608786454
Group Practice PAC ID
0840109930
Professional Enrollment ID
I20071023000263
Address ID
MI490159393BA3600XSWXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for BRYAN LEE HERDER (O.T.)

  • 7971, Moorsbridge Road, Portage, Kalamazoo County, Michigan, 49024, United States

    PORTAGE, MI 490244075

    Phone: (269) 321-0929

    Fax: (269) 321-1767

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071023000263IOccupational Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities75536$0
97140Therapy procedure using manual technique, each 15 minutes52735$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes21533$0
97165Evaluation for occupational therapy, typically 30 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 49024)

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Provider's Procedures

BRYAN LEE HERDER (O.T.) performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes19840

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840109930View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Can I verify BRYAN LEE HERDER (O.T.) with an NPI only?
You can start verification with NPI 1316169303 for BRYAN LEE HERDER (O.T.), then check state licensing separately.
Is BRYAN LEE HERDER (O.T.) listed as active for patients and plans?
The listing shows BRYAN LEE HERDER (O.T.) as active in the NPI system.
What is BRYAN LEE HERDER (O.T.)'s primary classification?
Occupational Therapist is the headline specialty for BRYAN LEE HERDER (O.T.) here. Clinical services aligned with this taxonomy classification.
What address line appears for BRYAN LEE HERDER (O.T.)?
BRYAN LEE HERDER (O.T.)'s geographic hint is Portage, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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