Audrey J Bruell Dermatology

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

4301062941 Issued in MI

Legal business name

AUDREY J BRUELL DERMATOLOGY

Practice address

37605 Pembroke Ave
Livonia, MI 48152-1050

Phone

(734) 591-7931

Fax

(734) 464-0335

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

David Durin

Title

Office Manager

Phone

(517) 505-0661

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AUDREY J BRUELL MD Doing business as

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245337179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37605 PEMBROKE AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37605 PEMBROKE AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521050",
            "telephone_number": "734-591-7931",
            "fax_number": "734-464-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY J BRUELL DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-505-0661"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MI",
            "license": "4301062941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2368769",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUDREY J BRUELL MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Macy Au Fliegner, M.D.
• Dawn Marie Aubuchon, CRNA
• Auburn Clinic L.L.C.
• Stephanie Ann Auch, RN, BSN
• Audrey Bruell, M.D. P.C.
• Teresa Austreng, RN
• Robert H. Auth, D.O.
• Auto Injury Case Management of Michigan LLC
• Avalon Care, LLC
• Avanti Home Health Care PLLC

• Non-Pharmacy Dispensing Site in Livonia, MI
• Providers in Livonia, MI by specialty
• Non-Pharmacy Dispensing Site in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.