Active NPI
Brigitte K Stern, MD
- Family Medicine Physician
- Washington, MI
National Provider Identifier
1003877366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301056994
- Practice address
- 64580 Van Dyke Rd
Suite C
Washington, MI 48095-2857 - Phone
- (586) 752-9629
- Fax
- (586) 752-4099
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301056994 | MI | Primary |
Addresses
Primary practice location
64580 Van Dyke Rd
Suite C
Washington, MI 48095-2857
Mailing address
64580 Van Dyke Rd
Suite C
Washington, MI 48095-2857
Phone (586) 752-9629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4373790 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301056994 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1003877366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64580 VAN DYKE RD",
"address_2": "SUITE C",
"city": "WASHINGTON",
"state": "MI",
"postal_code": "480952857",
"telephone_number": "586-752-9629",
"fax_number": "586-752-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64580 VAN DYKE RD",
"address_2": "SUITE C",
"city": "WASHINGTON",
"state": "MI",
"postal_code": "480952857",
"telephone_number": "586-752-9629",
"fax_number": "586-752-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "BRIGITTE",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301056994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4373790",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.