Active NPI
Brooke Champane Thomson, CRNA, DNAP
- Certified Registered Nurse Anesthetist
- Wyandotte, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704314176
- Practice address
- 2333 Biddle Ave
Wyandotte, MI 48192-4668 - Phone
- (734) 246-6000
- NPI assigned
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704314176 | MI | Primary |
Addresses
Primary practice location
2333 Biddle Ave
Wyandotte, MI 48192-4668
Mailing address
3615 Middlebury LN
Bloomfield Hills, MI 48301-3362
Phone (313) 204-5120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
359 Enterprise CT
Bloomfield Hills, MI 48302-0305
Phone 2487517246398
359 Enterprise CT
Bloomfield Hills, MI 48302-1055
Phone (248) 220-7505
7091 Orchard Lake Rd
Suite 230
West Bloomfield, MI 48322-3651
Phone (248) 538-7095
710 Avis Dr
Suite 100
Ann Arbor, MI 48108-9517
Phone (734) 719-8900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704314176 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Directors Consultants PLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Surgical Centers II L L C | Current | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| American Surgical Centers - Ann Arbor LLC | Current | Accepting new patients | |
| Neuro Pain Consultants PC | Current | Accepting new patients |
Locations
2370 Momentum Pl
Chicago, IL 60689
710 Avis Dr
Ste 100
Ann Arbor, MI 48108
Phone (734) 719-8900
359 Enterprise Ct
Ste C
Bloomfield Township, MI 48302
Phone (248) 220-7505
799 Denison Ct
Fl 2
Bloomfld Hls, MI 48302
Phone (248) 630-4333
359 Enterprise Ct
Bloomfld Hls, MI 48302
Phone (248) 220-7505
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
Interoperability endpoints
- https://api.platform.athenahealth.com/15471/brand/1/csg/1/fhir/r4
- bchampane525105@direct.hfhs.org
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Ann Arbor, MI
- NPI 1164246542
-
- Anesthesiology Physician
- West Bloomfield, MI
- NPI 1285369470
-
- Anesthesiology Physician
- Bloomfield Hills, MI
- NPI 1245121177
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Bloomfield Hills, MI
- NPI 1417936584
-
- Certified Registered Nurse Anesthetist
- Wyandotte, MI
- NPI 1386685212
Nurse Anesthetist, Certified Registered
-
- Community/Retail Pharmacy
- Brownstown TWP, MI
- NPI 1356356984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1376277699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 MIDDLEBURY LN",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483013362",
"telephone_number": "313-204-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 BIDDLE AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481924668",
"telephone_number": "734-246-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSON",
"first_name": "BROOKE",
"middle_name": "CHAMPANE",
"credential": "CRNA, DNAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704314176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.