Robert Britton, MD
Individual provider Active NPI Emergency Medical Services (Emergency Medicine) Physician · Niles, MI
NPI 1124054929 · NPPES record last updated Nov 5, 2012
Key facts
- NPI
- 1124054929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- License
- 054094 (MI)
- Practice address
- 3215 Hoyt St
Niles, MI 49120-9457 - Phone
- (269) 683-5170
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054094 | MI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niles Professional Services, Inc | Past | Accepting new patients | |
| Emergency Medicine of Indiana LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 054094 | MI | Yes |
| Emergency Medicine Physician | 207P00000X | 01070687A | IN |
Addresses
Primary practice location
3215 Hoyt St
Niles, MI 49120-9457
Mailing address
3215 Hoyt St
Niles, MI 49120-9457
Phone (269) 683-5170
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4725463 | Medicaid | MI | |
| RB054094 | Other | MI | BC/BS |
| 104979518 | Medicaid | MI | |
| 4725472 | Medicaid | MI |
Other providers in Niles, MI
- Michele K Bowen
- Andrea Bowmar
- Morgan R Bramlett
- Bridges Health Services
- Kourtney Britton
- Samantha Brousseau
- Aaron M Brown
- Natalie Nicole Brown
- Seth Buchanan
- Darci Bullock
All providers in Niles, MI · Emergency Medical Services (Emergency Medicine) Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.