Brandon B Anton, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5151016898 Issued in MI

Practice address

22250 Providence Dr Ste 500
Southfield, MI 48075-6213

Phone

(248) 849-3441

Fax

(248) 849-4132

NPI assigned

Apr 19, 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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: brandon.anton.1@16555.direct.athenahealth.com

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1144075540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 500",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756213",
            "telephone_number": "248-849-3441",
            "fax_number": "248-849-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 500",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756213",
            "telephone_number": "248-849-3441",
            "fax_number": "248-849-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTON",
        "first_name": "BRANDON",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5151016898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony a Adeleye M. D., P. C.
• Anthony a Bennett M D P C
• Anthony Martin MDMS PC
• Cleo Virginia Anthony
• Kelley Anthony, LLMSW
• May M Antone, MD
• Louisa Berta Antonelli, MD
• Any Physicians Reference Laboratory LLC
• Anytime Care Transportation
• Sallen Aoghiz, DDS

• Family Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.