Individual provider Active NPI

Brittany Rose Doxey, PA-C

  • Medical Physician Assistant
  • Portage, MI
National Provider Identifier
1003479445
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601008926 Issued in MI
Practice address
1324 W Milham Ave
Portage, MI 49024-2239
Phone
(269) 342-0196
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601008926 MI Primary

Addresses

Primary practice location

1324 W Milham Ave
Portage, MI 49024-2239

Mailing address

126 College St Ste B
Battle Creek, MI 49037-3461
Phone (269) 968-3030

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190516000505 MI Practitioner - Physician Assistant 8123361003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asthma Allergy Centers PCGroup PAC ID 9931146347, 9 clinicians

Practice addresses (Care Compare)

126 College St
Battle Creek, MI 49037-3461
Phone (269) 968-3030

1324 W Milham Ave
Suite 1
Portage, MI 49024-2239
Phone (269) 342-0196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601008926MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pradhan Center for Women PLC Past Accepting new patients

Organizations & group practices 2

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1003479445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 COLLEGE ST STE B",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490373461",
            "telephone_number": "269-968-3030",
            "fax_number": "269-968-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242239",
            "telephone_number": "269-342-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOXEY",
        "first_name": "BRITTANY",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601008926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.