Individual provider Active NPI

Brian Richard Drabik, D.O.

  • Urology Physician
  • Cadillac, MI
National Provider Identifier
1427007301
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
012281 Issued in MI
Practice address
1011 Sunnyside Dr
Cadillac, MI 49601-8735
Phone
(231) 779-2565
Fax
(231) 775-0744
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 012281 MI Primary

Addresses

Primary practice location

1011 Sunnyside Dr
Cadillac, MI 49601-8735

Mailing address

1011 Sunnyside Dr
Cadillac, MI 49601-8735
Phone (231) 779-2565

Other identifiers 1

IdentifierTypeStateIssuer
4227077-11MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Brian.drabik@cup.eclinicaldirectplus.com

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
I20071026000145 MI Practitioner - Urology 8628165461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Michigan State University College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Healthcare CadillacGroup PAC ID 6305161514, 104 clinicians

Practice addresses (Care Compare)

1011 Sunnyside Dr
Cadillac, MI 49601-8735
Phone (231) 779-2565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
012281MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Cadillac CurrentSince Aug 1, 2020 Accepting new patients
Munson Healthcare Cadillac Current Accepting new patients
Munson Healthcare Cadillac Urology CurrentSince Aug 1, 2020 Accepting new patients
Stephen B Reznicek M.D. P.C. Urology Current Accepting new patients

Locations

3782 Momentum Pl
Chicago, IL 60689

1011 Sunnyside Dr
Cadillac, MI 49601
Phone (231) 779-2565

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Interoperability endpoints

  • Direct secure messaging: brian.drabik@cup.eclinicaldirectplus.com
  • Direct secure messaging: bdrabik@direct.mhc.net

Organizations & group practices 4

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 6

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1427007301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 SUNNYSIDE DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018735",
            "telephone_number": "231-779-2565",
            "fax_number": "231-775-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 SUNNYSIDE DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018735",
            "telephone_number": "231-779-2565",
            "fax_number": "231-775-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRABIK",
        "first_name": "BRIAN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "012281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4227077-11",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Brian.drabik@cup.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1011 Sunnyside Dr",
            "city": "Cadillac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496018735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.