Brent Tatomir

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5151014255 Issued in MI

Practice address

32401 8 Mile Rd
Livonia, MI 48152-1301

Phone

(913) 359-6001

Fax

(913) 359-5552

NPI assigned

Apr 11, 2020

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4

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.

• First Choice Urgent Care PC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1629201264
  Medicare reassignment NPD
• Patheous Medical PLLC

  • Diagnostic Radiology Physician
  • Leawood, KS
  • NPI 1366121527

  MI

  Medicare reassignment NPD
• First Choice Medical Group PLLC

  • Primary Care Clinic/Center
  • Dearborn, MI
  • NPI 1750769394
  NPD (past)

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1417576232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 COLLEGE BLVD STE 120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111504",
            "telephone_number": "913-359-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32401 8 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521301",
            "telephone_number": "913-359-6001",
            "fax_number": "913-359-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATOMIR",
        "first_name": "BRENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-11",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5151014255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keishla Marie Tanner-Pedraza
• Hannah Tanner
• Janet Delosreyes Tapia-Zegarra, CRNA
• Ayman Tarabishy, MD
• Target Corporation
• Andrei Dan Taut, DDS, MS
• Bushra Tayab
• Danielle Lynn Taylor, PHD
• Jeanne Taylor
• Kamari Amiyah Taylor

• Family Medicine Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.