Active NPI
Breanna Lee Brookens
- General Practice Physician
- Saginaw, MI
National Provider Identifier
1245739903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- B625098497379
- Practice address
- 1531 Barnard St
Saginaw, MI 48602-4902 - Phone
- (989) 954-2391
- Fax
- (989) 954-2391
- NPI assigned
- Feb 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | B625098497379 | MI | Primary |
Addresses
Primary practice location
1531 Barnard St
Saginaw, MI 48602-4902
Mailing address
1531 Barnard St
Saginaw, MI 48602-4902
Phone (989) 954-2391
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B625098497379 | MI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1245739903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 BARNARD ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486024902",
"telephone_number": "989-954-2391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 BARNARD ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486024902",
"telephone_number": "989-954-2391",
"fax_number": "989-954-2391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKENS",
"first_name": "BREANNA",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-08",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "B625098497379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.