Individual provider Active NPI

Stephen M Tait, MD PHD

  • Ophthalmology Physician
  • Brighton, MI
National Provider Identifier
1376534164
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301074678 Issued in MI
Practice address
7329 Grand River Rd
Brighton, MI 48114-9340
Phone
(810) 474-3937
Fax
(810) 474-3940
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301074678 MI Primary

Addresses

Primary practice location

7329 Grand River Rd
Brighton, MI 48114-9340

Mailing address

7329 Grand River Rd
Brighton, MI 48114-9390
Phone (810) 474-3937

Other identifiers 1

IdentifierTypeStateIssuer
4528043MedicaidMI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050804000228 MI Practitioner - Ophthalmology 8022047620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Human Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert T Clark MD PCGroup PAC ID 7810890738, 3 clinicians

Practice addresses (Care Compare)

7329 Grand River Rd
Brighton, MI 48114-9348
Phone (810) 474-3937

7575 W Grand River
Suite 111
Brighton, MI 48114-9390

Hospital & facility affiliations

  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301074678MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millman-Derr Center for Eye Care, P.C. Ophthalmology CurrentSince Mar 1, 2010 Accepting new patients
Robert T Clark MD PC Ophthalmology CurrentSince May 1, 2019 Accepting new patients
Charles G.Colombo, M.D., P.C. Past Accepting new patients

Locations

7575 Grand River Rd
Ste 111
Brighton, MI 48114
Phone (810) 844-7744

7329 Grand River Rd
Brighton, MI 48114
Phone (810) 474-3937

375 Barclay Cir
Rochester Hills, MI 48307
Phone (248) 491-8894

Interoperability endpoints

  • Direct secure messaging: drtait@clarkeye.direct.eyemdemr.com
  • Direct secure messaging: stait@direct.dmc.org

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 1

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1376534164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149390",
            "telephone_number": "810-474-3937",
            "fax_number": "810-474-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7329 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149340",
            "telephone_number": "810-474-3937",
            "fax_number": "810-474-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIT",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2025-04-24",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301074678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4528043",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.