Individual provider Active NPI

Brian Grossman

  • Primary Care Nurse Practitioner
  • Allen Park, MI
National Provider Identifier
1366949596
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704306156 Issued in MI
Practice address
14575 Southfield Rd
Allen Park, MI 48101-2640
Phone
(313) 381-8787
NPI assigned
Apr 13, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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 4

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Consultants PC 30 clinicians

Practice addresses (Care Compare)

26850 Providence Pkwy
Suite 165
Novi, MI 48374-1255
Phone (248) 569-5985

27483 Dequindre Rd
Suite 201
Madison Heights, MI 48071-5711
Phone (248) 569-5985

29201 Telegraph Rd
Suite 500
Southfield, MI 48034-7648
Phone (248) 569-5985

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20180509001470 MI Practitioner - Nurse Practitioner 7517221096 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704306156MIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Consultants PC CurrentSince Jul 1, 2024 Accepting new patients
Melvin C. Murphy, M.D. P.C. PastSince May 1, 2007 Accepting new patients

Locations

31450 7 Mile Rd
Livonia, MI 48152
Phone (248) 478-6363

27483 Dequindre Rd
Ste 201
Madison Hts, MI 48071
Phone (248) 541-0100

26850 Providence Pkwy
Ste 165
Novi, MI 48374

26110 Harper Ave
Saint Clair Shores, MI 48081

29201 Telegraph Rd
Ste 500
Southfield, MI 48034

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704306156 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

14575 Southfield Rd
Allen Park, MI 48101-2640

Mailing address

460 E Cambourne St
Ferndale, MI 48220-1306
Phone (248) 672-9442

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2018.

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1366949596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 E CAMBOURNE ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201306",
            "telephone_number": "248-672-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14575 SOUTHFIELD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012640",
            "telephone_number": "313-381-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704306156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

Verify at the official NPI Registry.