Individual provider Active NPI

Gregory Brown, PA-C

  • Physician Assistant
  • West Bloomfield, MI
National Provider Identifier
1356460182
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004964 Issued in MI
Practice address
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone
(248) 661-6440
Fax
(313) 916-9175
NPI assigned
Mar 29, 2007
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 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 5601004964 MI Primary
Medical Physician Assistant 363AM0700X 5601004964 MI

Addresses

Primary practice location

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Mailing address

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-6440

Other practice location 1

6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3300 ext. 09818

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140115001298 MI Practitioner - Physician Assistant 1557599750 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

1514 W Caro Rd
Caro, MI 48723-9260
Phone (989) 672-1399

1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

4672 Hill St
Suite 4
Cass City, MI 48726-1028
Phone (989) 872-5582

4675 Hill St
Cass City, MI 48726-1008
Phone (989) 912-6275

6777 W Maple Rd
Henry Ford West Bloomfield Med Ctr
West Bloomfield, MI 48322-3013
Phone (248) 661-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601004964MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Deckerville Community Hospital, Inc CurrentSince Dec 1, 2024 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Deckerville Community Hospital, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Marlette Regional Hospital CurrentSince Dec 1, 2024 Accepting new patients
McLaren Thumb Region CurrentSince Apr 19, 2021 Accepting new patients
Huron Pathology Services PC Current Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Dec 1, 2024 Accepting new patients
McLaren Bay Region Physician Assistant CurrentSince Sep 8, 2025 Accepting new patients
Hills & Dales General Hospital CurrentSince Dec 1, 2024 Accepting new patients
McLaren Thumb Region CurrentSince Apr 19, 2021 Accepting new patients
Marlette Regional Hospital Physician Assistant CurrentSince Dec 1, 2024 Accepting new patients
Deckerville Community Hospital Inc CurrentSince Dec 1, 2024 Accepting new patients
Unified Academic Physicians PC CurrentSince Jan 1, 2026 Accepting new patients
Marlette Regional Hospital CurrentSince Dec 1, 2024 Accepting new patients
Henry Ford Health System Physician Assistant CurrentSince Jan 15, 2024 Accepting new patients
Henry Ford Pathology Current Accepting new patients
McLaren Hospital Group CurrentSince Nov 19, 2025 Accepting new patients
McLaren Bay Region CurrentSince Sep 8, 2025 Accepting new patients
Henry Ford Health System CurrentSince Jan 15, 2024 Accepting new patients
Marlette Regional Hospital Past Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients
Michigan Clinic Neurosurgery PLLC Past Accepting new patients
Hills & Dales General Hospital, Inc. Past Accepting new patients

Locations

1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

6001 W Outer Dr
Ste 114
Detroit, MI 48235
Phone (313) 966-9095

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

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

17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152

2750 Main St
Ste 5
Marlette, MI 48453
Phone (989) 635-4050

2750 Main St
Ste 7
Marlette, MI 48453
Phone (989) 635-4344

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

2771 Angle St
Marlette, MI 48453
Phone (989) 712-4214

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

Interoperability endpoints

  • Direct secure messaging: gbrown@direct.dmc.org
  • Direct secure messaging: gbrown169462@direct.covenanthealthcare.com
  • Direct secure messaging: gbrown940158@direct.hfhs.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/i-zcCbJ35X2O5bJkqEF8dvUIAeQf3o9y/

Organizations & group practices 26

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 26

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1356460182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6777 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-661-6440",
            "fax_number": "313-916-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-661-6440",
            "fax_number": "313-916-9175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6071 W Outer Dr",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482352624",
            "country_code": "US",
            "telephone_number": "313-966-3300 x09818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GREGORY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004964",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.