Brandon Ross MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

BR407448 Issued in MI

Legal business name

BRANDON ROSS MD PC

Practice address

2950 E Wattles Rd Ste 300
Troy, MI 48085-7008

Phone

(248) 524-2121

Fax

(248) 524-2035

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Brandon Ross, MDNPI 1154327252

Title

Owner

Phone

(248) 524-2121

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Brandon Ross, M.D.

  • Specialist
  • Troy, MI
  • NPI 1154327252
  Medicare reassignment Care Compare group NPD Authorized official
• Anne M Erben, MD

  • Allergy Physician
  • Troy, MI
  • NPI 1922098235
  Medicare reassignment Care Compare group
• Thomas James Trueheart, M.D.

  • Allergy Physician
  • Southfield, MI
  • NPI 1609829076
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1508045386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E WATTLES RD STE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480857008",
            "telephone_number": "248-524-2121",
            "fax_number": "248-524-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E WATTLES RD STE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480857008",
            "telephone_number": "248-524-2121",
            "fax_number": "248-524-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON ROSS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-524-2121",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "BR407448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103327532",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daria Emilia Bradley
• Julia Brady
• Tasha Brady, DDS
• Patrice Brand
• Stephanie Shillady Brandimarte, LMSW
• Danielle E Braniecki, PA-C
• Kinyetta Amour Branner
• Kimberly Brantigan
• Adowa Brashers, MA
• Susan Margaret Bratkowski, RNFA

• Specialist in Troy, MI
• Providers in Troy, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.