Individual provider Active NPI

Brandon Michael Feltz, PA-C

  • Physician Assistant
  • Washington, MI
National Provider Identifier
1285336933
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012447 Issued in MI
Practice address
7701 26 Mile Rd
Washington, MI 48094-2804
Phone
(586) 935-4000
NPI assigned
Mar 20, 2023
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1198793 NY
Physician Assistant 363A00000X 5601012447 MI Primary

Addresses

Primary practice location

7701 26 Mile Rd
Washington, MI 48094-2804

Mailing address

299 Brook Dr
Romeo, MI 48065-5016
Phone (248) 404-8748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230609001181 NY Practitioner - Physician Assistant 6608233473 Reassigns benefits to 1 organization
I20250114000901 MI Practitioner - Physician Assistant 6608233473 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Choice Urgent Care PCGroup PAC ID 9739221912, 45 clinicians

Practice addresses (Care Compare)

23455 Michigan Ave
Dearborn, MI 48124-1908

7701 26 Mile Rd
Washington, MI 48094-2804
Phone (248) 280-1080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
029939NYMDPharmacist
1198793NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Urgent Care, P. C. CurrentSince Nov 28, 2024 Accepting new patients
Lakeside Urgent Care, P.C. CurrentSince Nov 28, 2024 Accepting new patients
Am PM Primary Care Past Accepting new patients
Oxford Urgent Care, LLC Past Accepting new patients
Telegraph Urgent Care PLLC Past Accepting new patients

Locations

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

215 E Auburn Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

2952 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

Interoperability endpoints

  • Direct secure messaging: brandon.feltz.1@20203.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1285336933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 BROOK DR",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480655016",
            "telephone_number": "248-404-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 26 MILE RD",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480942804",
            "telephone_number": "586-935-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTZ",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "1198793",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MI

Sources for this page

Verify at the official NPI Registry.