Active NPI
Mathew J Brakora, MD
- Hospitalist Physician
- Muskegon, MI
National Provider Identifier
1013989177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 4301065022
- Practice address
- 1500 E Sherman Blvd
Muskegon, MI 49444-1849 - Phone
- (231) 672-3883
- NPI assigned
- Feb 3, 2006
- Last updated
- Apr 23, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301065022 | MI | |
| Hospitalist Physician | 208M00000X | 4301065022 | MI | Primary |
Addresses
Primary practice location
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Mailing address
1560 E Sherman Blvd Ste 240
Muskegon, MI 49444-1854
Phone (231) 672-3883
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104735165 | Medicaid | MI | |
| MB065022 | Other | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbrakora27900@direct.trinity-health.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Saint Louis University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-3883
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 97.08
- Improvement activities
- 40
- Cost
- 74.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Specialty Services | Internal Medicine | Current | Accepting new patients |
| Emergency Health Partners Muskegon | Past | Accepting new patients | |
| Verde Valley Medical Center | Past | Accepting new patients | |
| Mercy Health Partners | Past | Accepting new patients |
Locations
1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Trinity Health Medical Group
- Internal Medicine Physician
- Muskegon, MI
- NPI 1629010384
-
- Emergency Medicine Physician
- Muskegon, MI
- NPI 1235179029
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650672000000",
"number": "1013989177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E SHERMAN BLVD STE 240",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441854",
"telephone_number": "231-672-3883",
"fax_number": "231-231-6723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441849",
"telephone_number": "231-672-3883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAKORA",
"first_name": "MATHEW",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2022-04-23",
"certification_date": "2022-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301065022",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "4301065022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104735165",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "MB065022",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbrakora27900@direct.trinity-health.org",
"affiliation": "N",
"endpointDescription": "Specialist in Hospital Medicine",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "office",
"address_1": "1500 E Sherman Blvd",
"city": "Muskegon",
"state": "MI",
"country_code": "US",
"postal_code": "494441849",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.