Individual provider Active NPI

Katrina M Brang, MD

  • Family Medicine Physician
  • Marquette, MI
National Provider Identifier
1144455692
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301095098 Issued in MI
Practice address
717 W Washington St Ste a
Marquette, MI 49855-4100
Phone
(906) 936-3499
Fax
(906) 224-2562
NPI assigned
May 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301095098 MI Primary

Addresses

Primary practice location

717 W Washington St Ste a
Marquette, MI 49855-4100

Mailing address

717 W Washington St Ste a
Marquette, MI 49855-4100
Phone (906) 936-3499

Other names 1

  • Katrina M Kreft Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 13, 2023 through Feb 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301095098MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northcountry Health of Marquette, PC Family Medicine CurrentSince Jul 21, 2024 Accepting new patients

Locations

717 W Washington St
Ste A
Marquette, MI 49855
Phone (906) 226-2666

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1144455692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W WASHINGTON ST STE A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554100",
            "telephone_number": "906-936-3499",
            "fax_number": "906-224-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W WASHINGTON ST STE A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554100",
            "telephone_number": "906-936-3499",
            "fax_number": "906-224-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANG",
        "first_name": "KATRINA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301095098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "KREFT",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.