Individual provider Active NPI

Laura Louise Brosius

  • Family Nurse Practitioner
  • Brockway, MI
National Provider Identifier
1063908259
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704259908 Issued in MI
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

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
4704259908MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Port Huron CurrentSince May 19, 2024 Accepting new patients
McLaren Port Huron Current Accepting new patients
Aaron K. Clark MD PC CurrentSince Sep 1, 2020 Accepting new patients
Iah of Michigan, PLLC CurrentSince Jul 1, 2019 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

  • Direct secure messaging: lbrosius733657@direct.hfhs.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.