Renee Sue Brayton, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101012364 Issued in MI

Practice address

4200 Whitehall Drive
Suite 150
Ann Arbor, MI 48105

Phone

(810) 225-0086

Fax

(810) 225-0286

NPI assigned

Jun 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI, MT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Osteopathic Manipulative MedicineAlso: Family Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glacier Community Health Center IncGroup PAC ID 6305732124, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Rockies Medical Center Hospital, Cut Bank, MT, CCN 271337
• Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rbrayton26132@direct.trinity-health.org

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.

• Glacier Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Cut Bank, MT
  • NPI 1780764274

  MT

  Medicare reassignment Care Compare group NPD
• St Joseph Mercy Hospital

  • Otolaryngology Physician
  • Ypsilanti, MI
  • NPI 1659499705

  MI

  Medicare reassignment NPD
• Glacier Community Pharmacy

  • Community/Retail Pharmacy
  • Cut Bank, MT
  • NPI 1962396903
  Care Compare group NPD
• St Joseph Mercy Hospital

  • Urgent Care Clinic/Center
  • Canton, MI
  • NPI 1184743866

  Family Medicine

  NPD
• St Joseph Mercy Hospital

  • Cardiac Rehabilitation Clinic/Center
  • Ypsilanti, MI
  • NPI 1902359094
  NPD
• Edward W. Sparrow Hospital Association

  • Psychiatry Physician
  • Lansing, MI
  • NPI 1811942436
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Mercy Livingston Hospital

  • General Acute Care Hospital
  • Brighton, MI
  • NPI 1093748642

  Hospital

  Care Compare affiliation
• Northern Rockies Medical Center, Inc.

  • Critical Access Hospital
  • Cut Bank, MT
  • NPI 1831143080

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1528094976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WHITEHALL DRIVE",
            "address_2": "SUITE 150",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "810-225-0086",
            "fax_number": "810-225-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAYTON",
        "first_name": "RENEE",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4748753",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PIN",
            "identifier": "0853302604",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrill Dennis Bravender Jr., M.D.
• Olivia Grace Brawn
• Ikeyla Bray
• Madison Bray
• Karen Pamela Brayman
• Larita Brazelton, LLP
• Dawn Dee Brazil, RN
• Elaine Lukasavitz Brazin, RN BSN MSN CNM
• Barry Joel Breakey, MSW
• Breast Cancer Rehab and Lymphedema Therapy of Ann Arbor LLC

• All providers in Ann Arbor, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.

Verify at the official NPI Registry.