Brian Tze-Kit Chiu, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006864 Issued in MI

Practice address

3523 Grange Hall Rd
Holly, MI 48442-1007

Phone

(248) 382-5791

NPI assigned

Sep 30, 2013

Sex

Male

Sole proprietor

No

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.

• Holly Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Holly, MI
  • NPI 1831722719

  MI

  Medicare reassignment

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

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2019.

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1063849552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 GRANGE HALL RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421007",
            "telephone_number": "248-382-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 GRANGE HALL RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421007",
            "telephone_number": "248-382-5791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44237 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481882584",
            "country_code": "US",
            "telephone_number": "734-333-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 E 31st St Apt 1R",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166333",
            "country_code": "US",
            "telephone_number": "607-353-6772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIU",
        "first_name": "BRIAN",
        "middle_name": "TZE-KIT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-30",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020516-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookdale Senior Living Communities, Inc.
• Laraine Kay Brower, RDH
• Deborah Cain, R.N.
• Vickey Campbell, RN
• Carecar, LLC
• Tiffanie Sherea Clark, RMA
• Marcus Andre Collier
• Edward Albert Collins, MA
• Falon Convis
• Coop Dental PLLC

• All providers in Holly, MI
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.