Organization Active NPI

L Jean Dunegan M.D. P.C.

  • Family Medicine Physician
  • Brighton, MI
National Provider Identifier
1467585729
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301037571 Issued in MI
Legal business name
L JEAN DUNEGAN M.D. P.C.
Practice address
9912 E Grand River Ave Ste 1000
Brighton, MI 48116-1973
Phone
(810) 623-8182
Fax
(810) 225-0790
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lois Jean Dunegan, M.D.
Title
President
Phone
(810) 623-8182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301037571 MI Primary

Addresses

Primary practice location

9912 E Grand River Ave Ste 1000
Brighton, MI 48116-1973

Mailing address

5065 Moret CT
Brighton, MI 48116-4788
Phone (810) 623-8182

Other names 1

  • St Luke Hometown Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

9912 E Grand River Ave
Ste 1000
Brighton, MI 48116
Phone (810) 588-4214

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467585729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 MORET CT",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481164788",
            "telephone_number": "810-623-8182",
            "fax_number": "810-225-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 E GRAND RIVER AVE STE 1000",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161973",
            "telephone_number": "810-623-8182",
            "fax_number": "810-225-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L JEAN DUNEGAN M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNEGAN",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-623-8182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301037571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Luke Hometown Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.