Kennett Matthew Brinkmann

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

B652578210258 Issued in MI

Practice address

24445 Northwestern Hwy
Southfield, MI 48075-6501

Phone

(248) 606-9105

NPI assigned

Mar 28, 2024

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1144071077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24445 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756501",
            "telephone_number": "248-606-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24445 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756501",
            "telephone_number": "248-606-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKMANN",
        "first_name": "KENNETT",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "B652578210258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ehab Masood Brikho, M.D.
• Salam Brikho, M.D., M.S.
• Annaliese Brindley
• Ashley Claire Brinkel, DO
• Taylor Brinkman
• Alexandrea Briseno
• Lydia Brisson-Fast
• Shaunnika Britt-Watson
• Brittany Lutren LLC D.B.a. Niyama Center
• Samantha Gayle Brittingham, PA

• Case Manager/Care Coordinator in Southfield, MI
• Providers in Southfield, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.