Individual provider Active NPI

Brandon Karjo, AGPCNP

  • Gerontology Nurse Practitioner
  • Southgate, MI
National Provider Identifier
1437011848
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704378944 Issued in MI
Practice address
15750 Northline Rd
Southgate, MI 48195-2378
Phone
(734) 357-0505
Fax
(734) 357-0506
NPI assigned
Nov 25, 2025
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704378944 MI Primary

Addresses

Primary practice location

15750 Northline Rd
Southgate, MI 48195-2378

Mailing address

2649 Crooks Rd
Troy, MI 48084-4714
Phone (248) 643-0044

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313000830 MI Practitioner - Nurse Practitioner 9739662198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15750 Northline Rd
Southgate, MI 48195-2378

43369 Forest Creek CT
Sterling Heights, MI 48314-4539

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704378944MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Medical P C CurrentSince Nov 30, 2025 Accepting new patients
Fadi Delly, MD PC CurrentSince Feb 16, 2026 Accepting new patients

Locations

15750 Northline Rd
Southgate, MI 48195
Phone (248) 798-3130

2649 Crooks Rd
Troy, MI 48084
Phone (248) 643-0044

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1764028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1437011848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 CROOKS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844714",
            "telephone_number": "248-643-0044",
            "fax_number": "248-643-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15750 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952378",
            "telephone_number": "734-357-0505",
            "fax_number": "734-357-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARJO",
        "first_name": "BRANDON",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-25",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704378944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.