Individual provider Active NPI

Denise Bruerton

  • Student in an Organized Health Care Education/Training Program
  • Eastpointe, MI
National Provider Identifier
1487513263
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
21331 Kelly Rd
Eastpointe, MI 48021-3265
Phone
(800) 615-0411
NPI assigned
Jan 19, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI Primary

Addresses

Primary practice location

21331 Kelly Rd
Eastpointe, MI 48021-3265

Mailing address

50757 Calvert Isle Dr
Novi, MI 48374-2558
Phone (512) 608-8846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1487513263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50757 CALVERT ISLE DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483742558",
            "telephone_number": "512-608-8846",
            "fax_number": "512-608-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21331 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213265",
            "telephone_number": "800-615-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUERTON",
        "first_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.