Brody A Webster, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601008749 Issued in MI

Practice address

22471 Gratiot Ave
Eastpointe, MI 48021-2353

Phone

(586) 218-7774

NPI assigned

Sep 17, 2018

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bwebster1157209@direct.hfhs.org

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.

• Henry Ford Health Macomb-Oakland Hospital

  • Family Medicine Physician
  • Warren, MI
  • NPI 1134176472
  Medicare reassignment NPD
• Taylor Urgent Care PC

  • Urgent Care Clinic/Center
  • Taylor, MI
  • NPI 1013321033
  Medicare reassignment NPD
• Best Urgent Care PC

  • Urgent Care Clinic/Center
  • Redford, MI
  • NPI 1952791105
  Medicare reassignment
• Eastpointe Urgent Care Walk in Clinic P.C.

  • Urgent Care Clinic/Center
  • Eastpointe, MI
  • NPI 1982125126
  Medicare reassignment
• Henry Ford Health Macomb Oakland Hospital

  • Nurse Practitioner
  • Warren, MI
  • NPI 1578696092
  Medicare reassignment
• Westland Urgent Care Walk-in-Clinic

  • Urgent Care Clinic/Center
  • Westland, MI
  • NPI 1407207327
  Medicare reassignment
• Ypsilanti Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Ypsilanti, MI
  • NPI 1881048494
  Medicare reassignment
• Henry Ford Health Macomb-Oakland Hospital

  • Social Worker
  • Warren, MI
  • NPI 1548609761
  NPD

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1154805083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16261 ROSELAWN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482214929",
            "telephone_number": "989-277-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22471 GRATIOT AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212353",
            "telephone_number": "586-218-7774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23234 Ecorse Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481801769",
            "country_code": "US",
            "telephone_number": "313-768-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "BRODY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Major Watkins Sr., MSN, APRN, FNP-C
• Kadijah Watkins
• Wce, LLC
• WDW Eastpointe PLLC
• Brionna Chanay Webb
• Cora Belinda Wells - Hardaway, RN
• West Dearborn Pharmacy (Pharmor)
• Brianna White
• Latasha White, LLMSW
• Tamaria Lashawn White

• Physician Assistant in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.