Great Lakes Radiology Services

NPI 1891529111ActiveOrganization· Radiology, Diagnostic Radiology· Plymouth, MI

Radiology, Diagnostic Radiology in Plymouth, Michigan, registered in NPPES in August 2024. The authorized official on file is Brian Madison, Organizer. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1891529111
Status	Active
Entity type	Organization
NPI issued	Aug 28, 2024
Last updated in NPPES	Oct 17, 2026
Certified by provider	Oct 17, 2026

Specialties and licenses

Taxonomy	Code	License	State
Radiology, Diagnostic Radiology Primary	2085R0202X	—	—

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Part B Supplier - Clinic/Group Practice (AR); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (OK); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (VA)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AR); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (OK); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (VA)

Medicare sources and data years

Other diagnostic radiologists in Plymouth

Brendan M. Franz, MD
Plymouth, MI · Individual
1316576267

All diagnostic radiologists in Michigan