Active NPI
Laura Louise Brosius
- Family Nurse Practitioner
- Brockway, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704259908
- Practice address
- 7470 Brockway Rd
Brockway, MI 48097-3458 - Phone
- (810) 387-3211
- NPI assigned
- Jul 10, 2018
- 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 Nurse Practitioner | 363LF0000X | 4704259908 | MI | Primary |
Addresses
Primary practice location
7470 Brockway Rd
Brockway, MI 48097-3458
Mailing address
7470 Brockway Rd
Brockway, MI 48097-3458
Phone (810) 387-3211
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190614001107 | MI | Practitioner - Nurse Practitioner | 0941533475 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704259908 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Port Huron | Current | Accepting new patients | |
| McLaren Port Huron | Current | Accepting new patients | |
| Aaron K. Clark MD PC | Current | Accepting new patients | |
| Iah of Michigan, PLLC | Current | Accepting new patients | |
| Vpa PC | Past | Accepting new patients |
Locations
7470 Brockway Rd
Brockway, MI 48097
Phone (810) 387-3211
2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085
1217 Kearney St
Ste 1
Port Huron, MI 48060
Phone (810) 982-2095
1217 Kearney St
Port Huron, MI 48060
Phone (810) 982-2095
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386
1163 S Carney Dr
Saint Clair, MI 48079
Phone (810) 561-8450
500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
Interoperability endpoints
- lbrosius733657@direct.hfhs.org
- https://api.platform.athenahealth.com/11879/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Port Huron, MI
- NPI 1619355930
-
- Family Medicine Physician
- Fort Gratiot, MI
- NPI 1962516286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1063908259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7470 BROCKWAY RD",
"city": "BROCKWAY",
"state": "MI",
"postal_code": "480973458",
"telephone_number": "810-387-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7470 BROCKWAY RD",
"city": "BROCKWAY",
"state": "MI",
"postal_code": "480973458",
"telephone_number": "810-387-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROSIUS",
"first_name": "LAURA",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704259908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockway, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.