NPIMap

Individual provider Active NPI

Brian Smith, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Muskegon, MI
National Provider Identifier
1275547770
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
4301065694 Issued in MI
Practice address
1700 Clinton St
Muskegon, MI 49443
Phone
(231) 728-4601
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 4301065694 MI Primary

Addresses

Primary practice location

1700 Clinton St
Muskegon, MI 49443

Mailing address

PO Box 1487
Muskegon, MI 49443
Phone (616) 975-1845

Other identifiers 1

IdentifierTypeStateIssuer
930051957OtherMIRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070706000056 MI Practitioner - Emergency Medicine 7012800725 Reassigns benefits to 4 organizations
I20140905002171 GA Practitioner - Emergency Medicine 7012800725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Human Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301065694MIMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC CurrentSince Jun 1, 2014 Accepting new patients
McLaren Hospital Group CurrentSince Aug 1, 2025 Accepting new patients
Houston County Emergency Group, LLC CurrentSince Jun 1, 2014 Accepting new patients
Lake Michigan Emergency Specialists, PLLC CurrentSince Jan 1, 2017 Accepting new patients
McLaren Medical Group Emergency Medical Services CurrentSince Dec 8, 2024 Accepting new patients
Lake Michigan Observation Services PLLC Emergency Medical Services CurrentSince Jan 1, 2022 Accepting new patients
McLaren Medical Group CurrentSince Dec 8, 2024 Accepting new patients

Locations

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1700 Clinton St
Muskegon, MI 49442
Phone (231) 726-3511

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

385 N Lapeer Rd
Oxford, MI 48371
Phone (248) 628-2597

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

72 S State St
Shelby, MI 49455
Phone (231) 728-4601

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1275547770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1487",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49443",
            "telephone_number": "616-975-1845",
            "fax_number": "616-975-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CLINTON ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49443",
            "telephone_number": "231-728-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301065694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930051957",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.