Carmelita Jeanette Brown Bullock, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2617 Joseph Campau St
Detroit, MI 48207-3330

Phone

(877) 224-5390

NPI assigned

Oct 10, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1083589758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24060 MIDDLEBELT RD UNIT 28",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362978",
            "telephone_number": "313-728-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 JOSEPH CAMPAU ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482073330",
            "telephone_number": "877-224-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN BULLOCK",
        "first_name": "CARMELITA",
        "middle_name": "JEANETTE",
        "name_prefix": "Ms.",
        "credential": "CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Katherine Brousseau, CRNA
• Eddie Browder Jr., B.S, SST
• Nikki Elizabeth Browder
• Renita Browder
• Irina A Brower, PA-C
• Brown Counseling LLC
• Byron Anthony Brown-Bey
• Phyllis Brown-Bowman, RSST
• Cheryl C Brown-Deacon, MSN, FNP-BC
• Karen Brown-Johnson

• Community Health Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.