Individual provider Active NPI

Ciara Deborah Brege, PA-C, LAT, ATC

  • Physician Assistant
  • Bay City, MI
National Provider Identifier
1235776683
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601014262 Issued in MI
Practice address
3051 Kiesel Rd
Bay City, MI 48706-2449
Phone
(989) 778-3070
NPI assigned
Dec 4, 2019
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2601002543 MI
Physician Assistant 363A00000X 5601014262 MI Primary

Addresses

Primary practice location

3051 Kiesel Rd
Bay City, MI 48706-2449

Mailing address

8056 Washburn Rd
Goodrich, MI 48438-9720

Other names 1

  • Ciara Grubinski Former name

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

LicenseStateTypeSpecialty
2601002543MIMDAthletic Trainer
5601014262MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Protera Health, Inc Current Accepting new patients
Protera Health Medical Group, P.C. Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1235776683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8056 WASHBURN RD",
            "city": "GOODRICH",
            "state": "MI",
            "postal_code": "484389720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 KIESEL RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062449",
            "telephone_number": "989-778-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREGE",
        "first_name": "CIARA",
        "middle_name": "DEBORAH",
        "credential": "PA-C, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601002543",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601014262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CIARA",
            "last_name": "GRUBINSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.