NPIMap

Individual provider Active NPI

Brian J Gedeon, MD

  • Internal Medicine Physician
  • Sterling, MI
National Provider Identifier
1285667337
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301072128 Issued in MI
Practice address
725 E State St
Sterling, MI 48659-9548
Phone
(989) 654-2491
Fax
(989) 654-2190
NPI assigned
Jul 9, 2006
Last updated
Apr 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301072128 MI Primary
Pediatrics Physician 208000000X 4301072128 MI

Addresses

Primary practice location

725 E State St
Sterling, MI 48659-9548

Mailing address

725 E State St
Sterling, MI 48659-9548
Phone (989) 654-2491

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040809001035 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8123090347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Michigan Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians

Practice addresses (Care Compare)

2280 Tower Hill Rd
Houghton Lake, MI 48629-8961
Phone (989) 422-5153

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC Internal Medicine CurrentSince Jun 10, 2025 Accepting new patients
Schoolcraft Medical Care Facility Past Accepting new patients
Mercy Hospital Grayling Past Accepting new patients
McBain Nursing Center, LLC Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients
Atrium King Centre LLC Past Accepting new patients
Atrium Grayling LLC Past Accepting new patients

Locations

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

331 Meadows Dr
Grayling, MI 49738
Phone (989) 348-2801

2280 Tower Hill Rd
Houghton Lake, MI 48629
Phone (989) 422-5153

520 Main St
Manistique, MI 49854
Phone (906) 341-6921

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
King Nursing and Rehabilitation CommunityHoughton Lake, MI, CCN 235519 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2025
May 1, 2025
Autumnwood of McBainMcBain, MI, CCN 235438 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 1999
Oct 1, 1999

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1285667337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E STATE ST",
            "city": "STERLING",
            "state": "MI",
            "postal_code": "486599548",
            "telephone_number": "989-654-2491",
            "fax_number": "989-654-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E STATE ST",
            "city": "STERLING",
            "state": "MI",
            "postal_code": "486599548",
            "telephone_number": "989-654-2491",
            "fax_number": "989-654-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDEON",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301072128",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301072128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, MI

Sources for this page

Verify at the official NPI Registry.