Individual provider Active NPI

Logan Brenk, MD

  • Family Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1194287037
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301517817 Issued in MI
Practice address
4200 Whitehall Dr Ste 130
Ann Arbor, MI 48105-9694
Phone
(734) 995-0303
Fax
(734) 995-0425
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 82450 SC
Family Medicine Physician 207Q00000X 4301517817 MI Primary

Addresses

Primary practice location

4200 Whitehall Dr Ste 130
Ann Arbor, MI 48105-9694

Mailing address

24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766

Other practice location 1

51341 W Huron River Dr
Van Buren Township, MI 48111-2571
Phone (734) 997-0304

Other practice location 2

895 Tiger Blvd
Clemson, SC 29631-1480
Phone (864) 512-7257

Other practice location 3

1035 W Main St
Central, SC 29630-9229
Phone (864) 512-7740

Other practice location 4

2000 E Greenville St Ste 3700
Anderson, SC 29621-1725
Phone (864) 512-1916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20210630000382 SC Practitioner - Family Practice 4587996319 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, shared by 12 NPIs, 348 clinicians

Practice addresses (Care Compare)

1035 W Main St
Central, SC 29630-9229
Phone (864) 512-7740

600 N Fant St
Anderson, SC 29621-5704
Phone (864) 512-2000

895 Tiger Blvd
Clemson, SC 29631-1480
Phone (864) 654-6800

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Greenville, SC, CCN 427017
  • Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
  • Anmed Health Hospital, Anderson, SC, CCN 420027
  • Cannon Memorial Hospital Hospital, Pickens, SC, CCN 420011

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82450SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Anmed Health Past Accepting new patients

Locations

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

2000 E Greenville St
Ste 3600
Anderson, SC 29621
Phone (864) 512-1115

2000 E Greenville St
Ste 3700
Anderson, SC 29621
Phone (864) 512-1473

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

1035 W Main St
Central, SC 29630
Phone (864) 512-7740

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

Interoperability endpoints

  • Direct secure messaging: lbrenk35890@direct.anmedhealth.net

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1194287037",
    "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": "4200 WHITEHALL DR STE 130",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059694",
            "telephone_number": "734-995-0303",
            "fax_number": "734-995-0425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51341 W Huron River Dr",
            "address_purpose": "LOCATION",
            "city": "Van Buren Township",
            "state": "MI",
            "postal_code": "481112571",
            "country_code": "US",
            "telephone_number": "734-997-0304",
            "fax_number": "734-997-0305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "895 Tiger Blvd",
            "address_purpose": "LOCATION",
            "city": "Clemson",
            "state": "SC",
            "postal_code": "296311480",
            "country_code": "US",
            "telephone_number": "864-512-7257",
            "fax_number": "864-654-7672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 W Main St",
            "address_purpose": "LOCATION",
            "city": "Central",
            "state": "SC",
            "postal_code": "296309229",
            "country_code": "US",
            "telephone_number": "864-512-7740",
            "fax_number": "864-512-7741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 E Greenville St Ste 3700",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211725",
            "country_code": "US",
            "telephone_number": "864-512-1916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENK",
        "first_name": "LOGAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "82450",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301517817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.