Active NPI
Stephen Brandon Luczak, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Brighton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 4301107440
- Practice address
- 2305 Genoa Business Park Dr Ste 120
Brighton, MI 48114-7004 - Phone
- (810) 844-7785
- Fax
- (810) 844-7567
- NPI assigned
- May 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 4301107440 | MI | Primary |
Addresses
Primary practice location
2305 Genoa Business Park Dr Ste 120
Brighton, MI 48114-7004
Mailing address
24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2305 Genoa Bus PK Dr
Brighton, MI 48114-7004
Phone (810) 494-6881
Hospital & facility affiliations
- Trinity Health Livingston Hospital
- Trinity Health Ann Arbor Hospital
- Trinity Health Oakland Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Service Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| Iha Health Services Corporation | Orthopaedic Surgery | Current | Accepting new patients |
| Iha Health Services Corporation | Past | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
2305 Genoa Business Park Dr
Ste 120
Brighton, MI 48114
Phone (810) 494-6881
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
3535 W 13 Mile Rd
Ste 744
Royal Oak, MI 48073
Phone (248) 551-1852
Interoperability endpoints
- sluczak1289890@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Orthopaedic Surgery Physician
- Ypsilanti, MI
- NPI 1093174237
-
- Family Medicine Physician
- Milan, MI
- NPI 1467509067
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1154700854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR STE J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-747-6766",
"fax_number": "734-222-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 GENOA BUSINESS PARK DR STE 120",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481147004",
"telephone_number": "810-844-7785",
"fax_number": "810-844-7567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCZAK",
"first_name": "STEPHEN",
"middle_name": "BRANDON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-27",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MI",
"license": "4301107440",
"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 Nov 5, 2025; 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.
- 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.