BRYAN DALE VISSER (MD) – Physical Medicine & Rehabilitation Physician, NPI 1588756340

BRYAN DALE VISSER (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. 4301047094 (MI). The NPI Number for BRYAN DALE VISSER (MD) is 1588756340

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN DALE VISSER (MD)
NPI
1588756340
Phone
(616) 301-8000
Address
1490 E Beltline Ave SE
Enumeration Date
29 September 2006
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6164590801
Graduation Year
1980 (46 years ago)
PAC ID
3971413725
Group Practice PAC ID
2264589688
Professional Enrollment ID
I20101216000842
Address ID
MI495034656GR350XXSEXX401
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

565 PHYSICAL MEDICINE AND REHABILITATION in MI

Provider Addresses for BRYAN DALE VISSER (MD)

  • 1490 E Beltline Ave SE

    Grand Rapids, MI 495064336

    Phone: (616) 301-8000

    Type: Location

  • 7901, South 12th Street, Portage, Kalamazoo County, Michigan, 49024, United States

    SUITE #200

    PORTAGE, MI 490243831

    Phone: (269) 372-7200

    Fax: (269) 372-1630

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: PIRAMAL CRITICAL CARE ($97).

Total Amount

$147

General + Research + Ownership

Payments

6

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-12-16

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
I20101216000842IPhysical Medicine And RehabilitationMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11237$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8534$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
99239Hospital discharge day management, more than 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 49506)

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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: 2264589688View full group profile
NameSpecialtyState
Nurse PractitionerMI
Clinical Social WorkerMI
Physical Medicine And RehabilitationMI
Family PracticeMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Is BRYAN DALE VISSER (MD) listed with a National Provider Identifier?
Yes — BRYAN DALE VISSER (MD) has NPI 1588756340 on file in the registry.
Would BRYAN DALE VISSER (MD) appear as active to a payer?
You can treat BRYAN DALE VISSER (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with BRYAN DALE VISSER (MD)?
BRYAN DALE VISSER (MD)'s record emphasizes Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is BRYAN DALE VISSER (MD) registered?
Use Grand Rapids, Michigan as the headline location for BRYAN DALE VISSER (MD) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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