Active NPI
L Jean Dunegan M.D. P.C.
- Family Medicine Physician
- Brighton, MI
National Provider Identifier
1467585729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301037571
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.