Brielle Bashore-Harris
Individual provider Active NPI Physician Assistant · Saint Joseph, MI
NPI 1548089741 · NPPES record last updated Apr 20, 2026
Key facts
- NPI
- 1548089741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 3950 Hollywood Rd Ste 280
Saint Joseph, MI 49085-9151 - Phone
- (269) 982-3368
- NPI assigned
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MI | Yes |
Addresses
Primary practice location
3950 Hollywood Rd Ste 280
Saint Joseph, MI 49085-9151
Mailing address
PO Box 141
Baroda, MI 49101-0141
Other providers in Saint Joseph, MI
- Maureen Rowley Barnett
- Barrett and Driscoll,MD'S,PC
- Prudence Lynn Barrett
- Ashley Barrios
- Margaret Barta
- Crystal Bauer
- Judy Baute
- Beacon Counseling Center LLC
- Tawan Kaithep Beaumont
- David Bebawy
All providers in Saint Joseph, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.