Middlebrook Medical Center

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MIDDLEBROOK MEDICAL CENTER

Practice address

20001 Livernois Ave
Suite 500
Detroit, MI 48221-4122

Phone

(313) 864-3000

Fax

(313) 864-5423

NPI assigned

May 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Labretta Quick

Title

Billing Supervisor

Phone

(313) 864-3000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1003083460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20176 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211346",
            "telephone_number": "313-864-3000",
            "fax_number": "313-864-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20001 LIVERNOIS AVE",
            "address_2": "SUITE 500",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482214122",
            "telephone_number": "313-864-3000",
            "fax_number": "313-864-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBROOK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "LABRETTA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "313-864-3000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne B Mick, NP
• Maureen Mickalonis
• Tiffany Micketti, MA, BCBA
• Clara Renee Mickey, S.W.
• Middle Way Psychology
• Deon David Middlebrook, MD
• Albia Christina Middlebrooks, AM
• Deanna Faith Middlebrooks, M.A./LLPC
• Krista Michelle Middleton
• Tammy Gail Middleton, LMSW

• Nephrology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.