Individual provider Active NPI

Robin Lucasta Keefer Brigham, PA-C

  • Physician Assistant
  • Jackson, MI
National Provider Identifier
1053592972
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601002220 Issued in MI
Practice address
3165 County Farm Rd
Jackson, MI 49201-4101
Phone
(517) 787-8015
NPI assigned
Nov 19, 2007
Last updated
Feb 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601002220 MI Primary

Addresses

Primary practice location

3165 County Farm Rd
Jackson, MI 49201-4101

Mailing address

3165 County Farm Rd
Jackson, MI 49201-4101
Phone (517) 787-8015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080222000202 MI Practitioner - Physician Assistant 8426132945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-4451

168 S Howell St
Hillsdale, MI 49242-2081

240 W Carleton Rd
Hillsdale Health and Wellness
Hillsdale, MI 49242-5034
Phone (517) 437-7040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601002220MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc Physician Assistant CurrentSince Sep 16, 2017 Accepting new patients
W.a. Foote Memorial Hospital, Inc Physician Assistant CurrentSince Sep 16, 2017 Accepting new patients
Hillsdale Community Health Center CurrentSince Jul 3, 2023 Accepting new patients
Hillsdale Community Health Center Past Accepting new patients

Locations

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

240 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-7040

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

3165 County Farm Rd
Jackson, MI 49201
Phone (517) 787-8015

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

Interoperability endpoints

  • Direct secure messaging: rbrigham670022@direct.parkviewexchange.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1053592972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 COUNTY FARM RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492014101",
            "telephone_number": "517-787-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 COUNTY FARM RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492014101",
            "telephone_number": "517-787-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFER BRIGHAM",
        "first_name": "ROBIN",
        "middle_name": "LUCASTA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.