Brian S Gendelman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301051241 Issued in MI

Practice address

8896 Commerce Rd
Ste 5
Commerce Township, MI 48382

Phone

(248) 360-9241

Fax

(284) 360-0830

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bgendelm@direct.dmc.org
• Direct secure messaging: bgendelman237882@epic00.shdirect.org
• Direct secure messaging: bgendelman57270@direct.hfhs.org

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.

• William Beaumont Hospital

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1083833875
  Medicare reassignment NPD
• Edgewood Center Pediatrics PC

  • Pediatrics Physician
  • Commerce Township, MI
  • NPI 1295831550
  NPD (past) Authorized official
• William Beaumont Hospital

  • Hospitalist Physician
  • Royal Oak, MI
  • NPI 1811044878
  NPD
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  NPD
• VHS Huron Valley-Sinai Hospital Inc

  dba Huron Valley-Sinai Hospital

  • General Acute Care Hospital
  • Commerce Township, MI
  • NPI 1922310200
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316055866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8896 COMMERCE RD",
            "address_2": "STE 5",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "48382",
            "telephone_number": "248-360-9241",
            "fax_number": "284-360-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8896 COMMERCE RD",
            "address_2": "STE 5",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "48382",
            "telephone_number": "248-360-9241",
            "fax_number": "284-360-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDELMAN",
        "first_name": "BRIAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301051241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Fulmer, FNP-C
• Sarah Gabay, PT, DPT
• Christine Gabriel, APRN, FNP-C
• Andrea Gager, MS, RD
• Cheryl K Gannon, MD
• Christian B Gentry, SA
• George Atwan Dentistry LLC
• Hiba J George, DDS
• Leslie George, LMT
• Claire Lynn Getzen

• Pediatrics Physician in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.