Active NPI
Brian Jeffrey Zink, MD
- Emergency Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301059812
- Practice address
- 1500 E Medical Center Dr
B1 Floor University Hospital Recp Emergency
Ann Arbor, MI 48109 - Phone
- (734) 936-6666
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301059812 | MI | Primary |
| Emergency Medicine Physician | 207P00000X | MD12188 | RI |
Addresses
Primary practice location
1500 E Medical Center Dr
B1 Floor University Hospital Recp Emergency
Ann Arbor, MI 48109
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04/15/2009 | Other | RI | UNITED HEALTHCARE |
| P00608585 | Other | RAILROAD MEDICARE | |
| 007058810 | Other | RI | RI MEDICARE |
| 2123193 | Other | MA MEDICAID | |
| 413556 | Other | RI | BLUECHIP |
| 7058810 | Medicaid | RI | |
| 01272009 | Other | MA | TUFTS HEALTH PLAN |
| 1568579118 | Other | RI | NPI |
| 09262006 | Other | RI | NHPRI |
| 939025129 | Other | RI | RI MEDICARE GROUP NUMBER |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Emergency Medicine | Current | Accepting new patients |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Lifespan Pharmacy, LLC | Past | Accepting new patients |
Locations
1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823
1500 E Medical Center Dr
#B1
Ann Arbor, MI 48109
Phone (734) 936-4500
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
-
- Emergency Medicine Physician
- Ann Arbor, MI
- NPI 1811928641
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- Infusion Therapy Clinic/Center
- Providence, RI
- NPI 1174321764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1568579118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"address_2": "B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48109",
"telephone_number": "734-936-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINK",
"first_name": "BRIAN",
"middle_name": "JEFFREY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301059812",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "RI",
"license": "MD12188",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "04/15/2009",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00608585",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI MEDICARE",
"identifier": "007058810",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA MEDICAID",
"identifier": "2123193",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP",
"identifier": "413556",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7058810",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "01272009",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1568579118",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHPRI",
"identifier": "09262006",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI MEDICARE GROUP NUMBER",
"identifier": "939025129",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.