David Leonard Brandreth, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001472 Issued in MI

Practice address

6199 Miller Rd
Suite B
Swartz Creek, MI 48473-1585

Phone

(810) 635-0554

Fax

(810) 635-0558

NPI assigned

Sep 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: dbrandreth1118561@direct.hfhs.org

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1255431946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6199 MILLER RD",
            "address_2": "SUITE B",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731585",
            "telephone_number": "810-635-0554",
            "fax_number": "810-635-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6199 MILLER RD",
            "address_2": "SUITE B",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731585",
            "telephone_number": "810-635-0554",
            "fax_number": "810-635-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDRETH",
        "first_name": "DAVID",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1983802",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5251018",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Anne Bird, RN
• Annmarie Elizabeth Blankertz, D.P.T.
• Bobby J Grossi DDS of Swartz Creek
• Delaney Bomis
• Laura Bowden
• Bright Horizons Psychological Center
• Errol Brown, DC
• Lynn Brown
• Robert Kenneth Brummeler, M.D.
• Gina Marie Campbell, COTA

• Podiatrist in Swartz Creek, MI
• Providers in Swartz Creek, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.