Individual provider Active NPI

Fleur Broughton

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1174810717
Registry record updated Jul 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301099341 Issued in MI
Practice address
1200 E Michigan Ave
Professional BLDG Ste 245-C
Lansing, MI 48912-1800
Phone
(517) 364-5772
NPI assigned
Jul 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2011

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 4301099341 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave
Professional BLDG Ste 245-C
Lansing, MI 48912-1800

Mailing address

1200 E Michigan Ave
Professional BLDG Ste 245-C
Lansing, MI 48912-1800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140714000056 MI Practitioner - Family Practice 5395960025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2682 E Grand River Ave
Sparrow Urgent Care East Lansing
East Lansing, MI 48823-5608
Phone (517) 333-6562

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301099341MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Family Medicine CurrentSince Aug 28, 2014 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Aug 28, 2014 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2682 E Grand River Ave
East Lansing, MI 48823
Phone (517) 333-6352

1200 E Michigan Ave
Ste 245C
Lansing, MI 48912
Phone (517) 364-5710

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

1600 W Grand River Ave
Okemos, MI 48864
Phone (517) 349-6560

1600 W Grand River Ave
Ste 4
Okemos, MI 48864
Phone (517) 381-6880

Interoperability endpoints

  • Direct secure messaging: fbroughton3283@sparrowdirecthie.org

Organizations & group practices 4

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309737600000",
    "number": "1174810717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "address_2": "PROFESSIONAL BLDG STE 245-C",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "address_2": "PROFESSIONAL BLDG STE 245-C",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-364-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "FLEUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-04",
        "last_updated": "2011-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301099341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.