Individual provider Active NPI

Lindsey Nicole Farah-Brunner, M.D.

  • Pediatrics Physician
  • Ypsilanti, MI
National Provider Identifier
1003159583
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301109305 Issued in MI
Practice address
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone
(734) 712-3325
Fax
(734) 712-5525
NPI assigned
Apr 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301109305 MI Primary

Addresses

Primary practice location

5301 McAuley Dr
Ypsilanti, MI 48197-1051

Mailing address

24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766

Other practice location 1

4201 Saint Antoine St # 5D
Detroit
Detroit, MI 48201-2153
Phone (313) 566-9051

Other practice location 2

4201 Saint Antoine St # 5D
Detroit
Detroit, MI 48201-2153
Phone (313) 566-9051

Other practice location 3

3901 Beaubien
3rd FL
Detroit, MI 48201
Phone (313) 966-0128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211012001344 MI Practitioner - Pediatric Medicine 3072911627 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Macomb Pediatrics CurrentSince Aug 1, 2022 Accepting new patients
University Pediatricians Pediatrics CurrentSince Sep 12, 2021 Accepting new patients
University Pediatricians Pediatrics CurrentSince Sep 12, 2021 Accepting new patients
VHS Childrens Hospital of Michigan Inc Past Accepting new patients
McLaren Macomb Past Accepting new patients
St Joseph Mercy Hospital Past Accepting new patients
VHS Harper-Hutzel Hospital Inc Past Accepting new patients

Locations

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

4201 Saint Antoine St
#5D
Detroit, MI 48201
Phone (313) 566-9051

3901 Beaubien St
Ste H
Detroit, MI 48201
Phone (313) 745-5437

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

Interoperability endpoints

  • Direct secure messaging: lfarahbrunner2342996@direct.trinity-health.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1003159583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR STE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 MCAULEY DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971051",
            "telephone_number": "734-712-3325",
            "fax_number": "734-712-5525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Saint Antoine St # 5D",
            "address_2": "Detroit",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012153",
            "country_code": "US",
            "telephone_number": "313-566-9051",
            "fax_number": "313-566-0665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Saint Antoine St # 5D",
            "address_2": "Detroit",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012153",
            "country_code": "US",
            "telephone_number": "313-566-9051",
            "fax_number": "313-566-0665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Beaubien",
            "address_2": "3rd FL",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48201",
            "country_code": "US",
            "telephone_number": "313-966-0128",
            "fax_number": "313-993-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAH-BRUNNER",
        "first_name": "LINDSEY",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301109305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.