Active NPI
Brighton Area Fire Authority
- Land Ambulance
- Brighton, MI
National Provider Identifier
1093591448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- BRIGHTON AREA FIRE AUTHORITY
- Practice address
- 615 W Grand River Ave
Brighton, MI 48116-2322 - Phone
- (810) 229-6640
- Fax
- (810) 229-1619
- NPI assigned
- Sep 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael D O'Brian
- Title
- Fire Chief
- Phone
- (810) 229-6640
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
615 W Grand River Ave
Brighton, MI 48116-2322
Mailing address
PO Box 2122
Riverview, MI 48193-1122
Phone (800) 926-6985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231229000980 | MI | Part B Supplier - Ambulance Service Supplier | 4486004611 | Practice locations: Brighton, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2215159 | Brighton Area Fire Authority | Certificate of waiver | Feb 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
615 W Grand River Ave
Brighton, MI 48116
Phone (810) 229-6640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702339200000",
"number": "1093591448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2122",
"city": "RIVERVIEW",
"state": "MI",
"postal_code": "481931122",
"telephone_number": "800-926-6985",
"fax_number": "734-479-6319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 W GRAND RIVER AVE",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481162322",
"telephone_number": "810-229-6640",
"fax_number": "810-229-1619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTON AREA FIRE AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-01",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A",
"authorized_official_last_name": "O'BRIAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "810-229-6640"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.