Active NPI
Brianna J Steadman, PA-C
- Medical Physician Assistant
- Brockway, MI
National Provider Identifier
1154780930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601007694
- Practice address
- 7470 Brockway Rd
Brockway, MI 48097-3458 - Phone
- (810) 387-9355
- Fax
- (810) 387-9400
- NPI assigned
- Feb 22, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601007694 | MI | Primary |
Addresses
Primary practice location
7470 Brockway Rd
Brockway, MI 48097-3458
Mailing address
7470 Brockway Rd
Brockway, MI 48097-3458
Phone (810) 387-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601007694 | MI | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1154780930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7470 BROCKWAY RD",
"city": "BROCKWAY",
"state": "MI",
"postal_code": "480973458",
"telephone_number": "810-387-9355",
"fax_number": "810-387-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7470 BROCKWAY RD",
"city": "BROCKWAY",
"state": "MI",
"postal_code": "480973458",
"telephone_number": "810-387-9355",
"fax_number": "810-387-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEADMAN",
"first_name": "BRIANNA",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-22",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601007694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockway, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.