Individual provider Active NPI

Brady Thomas Vibert, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Rochester Hills, MI
National Provider Identifier
1205870441
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
4301075858 Issued in MI
Practice address
1555 South Blvd E
Rochester Hills, MI 48307-5605
Phone
(248) 215-8095
Fax
(248) 289-1086
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301075858 MI
Orthopaedic Surgery of the Spine Physician 207XS0117X 4301075858 MI Primary

Addresses

Primary practice location

1555 South Blvd E
Rochester Hills, MI 48307-5605

Mailing address

1555 South Blvd E
Rochester Hills, MI 48307-5605
Phone (248) 215-8095

Other identifiers 1

IdentifierTypeStateIssuer
4888315MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Troy Direct Michigan Orthopaedic Spine Surgeons PC

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
I20060830000026 MI Practitioner - Orthopedic Surgery 8729011937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Michigan Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Orthopaedic Spine Surgeons PCGroup PAC ID 3779732466, 15 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

1555 S Blvd E
Suite 310
Rochester Hills, MI 48307-5624
Phone (248) 215-8080

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.01 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion494
Laminectomy or laminotomy (partial removal of spine bones)146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301075858MIMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Orthopaedic Spine Surgeons PC Orthopaedic Surgery CurrentSince Jun 1, 2013 Accepting new patients
Great Lakes Surgical Assistants, PLLC PastSince Jun 1, 2011 Accepting new patients
Michigan Orthopaedic Spine Surgeons PC Orthopaedic Surgery of the Spine Past Accepting new patients

Locations

1555 South Blvd E
Ste 310
Rochester Hills, MI 48307
Phone (248) 215-8080

29624 Woodward Ave
Royal Oak, MI 48073
Phone (248) 215-8080

Organizations & group practices 3

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 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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1205870441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075605",
            "telephone_number": "248-215-8095",
            "fax_number": "248-289-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075605",
            "telephone_number": "248-215-8095",
            "fax_number": "248-289-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIBERT",
        "first_name": "BRADY",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301075858",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MI",
            "license": "4301075858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4888315",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Troy",
            "affiliation": "Y",
            "affiliationName": "Michigan Orthopaedic Spine Surgeons PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1555 South Blvd E",
            "address_2": "Suite 310",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483075605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.