Brent J. Michael, MD, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRENT J. MICHAEL, MD, INC

Practice address

2001 Santa Monica Blvd Ste 470W
Santa Monica, CA 90404-2181

Phone

(310) 829-7777

Fax

(310) 829-9951

NPI assigned

Jul 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Brent James Michael, M.D.NPI 1275698052

Title

President

Phone

(310) 829-7777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent James Michael, M.D.

  • Family Medicine Physician
  • Santa Monica, CA
  • NPI 1275698052
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1467836296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 470W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042181",
            "telephone_number": "310-829-7777",
            "fax_number": "310-829-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 470W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042181",
            "telephone_number": "310-829-7777",
            "fax_number": "310-829-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT J. MICHAEL, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-829-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda S Lee
• Brendan Murray Inc.
• Stephanie Victoria Brenman, M.D.
• Kathleen Marie Brennan, MD
• Andrea Jae Brennglass, PT, DPT, ATC, CSCS
• Brentwood Urgent Care
• Rachel Ellen Bressler Deese, RN, MN
• Philip Michael Bretsky, MD, PHD
• Heather Brewer, MA
• Jessica Lin Brewer, P.A.

• Family Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.