Individual provider Active NPI

Brittany J Miller, PA-C

  • Physician Assistant
  • Livonia, MI
National Provider Identifier
1548542020
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006157 Issued in MI
Practice address
36622 Five Mile Rd Ste 101
Livonia, MI 48154-1900
Phone
(734) 542-0200
NPI assigned
Sep 12, 2011
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006157 MI Primary

Addresses

Primary practice location

36622 Five Mile Rd Ste 101
Livonia, MI 48154-1900

Mailing address

36622 Five Mile Rd Ste 101
Livonia, MI 48154-1900
Phone (734) 542-0200

Other practice location 1

35735 Mound Rd Ste 100
Sterling Heights, MI 48310-4728
Phone (586) 261-1960

Other names 1

  • Brittany J Clos Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120104000868 MI Practitioner - Physician Assistant 0042486524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendelson Orthopedics PCGroup PAC ID 8426008368, 69 clinicians
Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians

Practice addresses (Care Compare)

29275 Northwestern Hwy 207
Mendelson Kornblum Orthopedics and SP
Southfield, MI 48034-5744
Phone (248) 355-4000

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

35735 Mound Rd
Sterling Heights, MI 48310-4728

36622 5 Mile Rd
Livonia, MI 48154-1900
Phone (734) 542-0200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601006157MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mendelson Orthopedics PC CurrentSince Oct 22, 2011 Accepting new patients
Mendelson Orthopedics PC CurrentSince Oct 22, 2011 Accepting new patients
Mendelson Orthopedics PC Past Accepting new patients
Mendelson Orthopedics PC Past Accepting new patients

Locations

14555 Levan Rd
Ste 215
Livonia, MI 48154
Phone (734) 542-0200

36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200

36622 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 526-1791

35735 Mound Rd
Ste 100
Sterling Heights, MI 48310
Phone (586) 261-1960

11900 E 12 Mile Rd
Ste 110
Warren, MI 48093
Phone (586) 261-1960

27472 Schoenherr Rd
Ste 140
Warren, MI 48088
Phone (586) 439-6242

Interoperability endpoints

  • Direct secure messaging: bmiller1141573@direct.hfhs.org
  • Direct secure messaging: bmiller44856@direct.trinity-health.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1548542020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36622 FIVE MILE RD STE 101",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541900",
            "telephone_number": "734-542-0200",
            "fax_number": "734-542-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36622 FIVE MILE RD STE 101",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541900",
            "telephone_number": "734-542-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35735 Mound Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483104728",
            "country_code": "US",
            "telephone_number": "586-261-1960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRITTANY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "CLOS",
            "middle_name": "J",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.