Active NPI
Kimberly A. Brown, M.D.
- Gastroenterology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301405859
- Practice address
- Henry Ford Health System
2799 West Grand Boulevard
Detroit, MI 48202 - Phone
- (313) 916-9106
- Fax
- (313) 916-1249
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Hepatology Physician | 207RT0003X | 4301405859 | MI | |
| Gastroenterology Physician | 207RG0100X | 4301405859 | MI | Primary |
Addresses
Primary practice location
Henry Ford Health System
2799 West Grand Boulevard
Detroit, MI 48202
Mailing address
Henry Ford Health System
2799 West Grand Boulevard
Detroit, MI 48202
Phone (313) 916-9106
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KB405859 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| 312028110 | Medicaid | MI | |
| KB405859 | Other | CHAMPUS-CHAMPUS | |
| 100H264400 | Other | BLUE CROSS-BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Wayne State University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Ford PL
Detroit, MI 48202-3450
Phone (313) 874-6677
2799 W Grand Blvd
Detroit, MI 48202-2608
Hospital & facility affiliations
- Henry Ford Health Hospital
- Henry Ford Macomb Hospital
- Henry Ford Health West Bloomfield Hospital
- Henry Ford Allegiance Health
- Wyandotte Hospital and Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Gastroenterology | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Gastroenterology | Current | Accepting new patients |
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Past | Accepting new patients | |
| Henry Ford Maplegrove Center | Past | Accepting new patients |
Locations
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
#K16
Detroit, MI 48202
Phone (313) 916-1154
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
2799 W Grand Blvd
#363
Detroit, MI 48202
Phone (313) 916-2020
1100 E Michigan Ave
Ste 201
Jackson, MI 49201
Phone (517) 205-7605
744 W Michigan Ave
Ste 201
Jackson, MI 49201
Phone (517) 205-7618
813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
1100 E Michigan Ave
Ste 205
Jackson, MI 49201
Phone (517) 205-7618
1100 E Michigan Ave
Ste 203
Jackson, MI 49201
Phone (517) 205-3120
Interoperability endpoints
- kbrown12946@direct.hfhs.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
- Gastroenterology Physician
- Detroit, MI
- NPI 1205909892
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Gastroenterology Physician
- Jackson, MI
- NPI 1326585522
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
- Children's Substance Abuse Rehabilitation Facility
- West Bloomfield, MI
- NPI 1295767630
-
- Emergency Medicine Physician
- Jackson, MI
- NPI 1265487722
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
- Ambulatory Surgical Clinic/Center
- Wyandotte, MI
- NPI 1093901035
Hospital
-
- General Acute Care Hospital
- Wyandotte, MI
- NPI 1992725352
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1508934035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "2799 WEST GRAND BOULEVARD",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-916-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "2799 WEST GRAND BOULEVARD",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-916-9106",
"fax_number": "313-916-1249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KIMBERLY",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RT0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Transplant Hepatology",
"state": "MI",
"license": "4301405859",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301405859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "KB405859",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "312028110",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "KB405859",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "100H264400",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.