Briahnnon Long, NP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704272824 Issued in MI

Practice address

44405 Woodward Ave
Pontiac, MI 48341-5023

Phone

(248) 858-3000

NPI assigned

Oct 19, 2020

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

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

Specialty

Nurse Practitioner

Education

University of Michigan Medical School, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Medicine Physicians of Michigan - Saginaw PLLCGroup PAC ID 9032590831, 14 clinicians

Fadi Salloum MD PCGroup PAC ID 2062503584, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blong29942@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.

• Fadi Salloum MD PC

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1053510446
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Michigan - Saginaw PLLC

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1922739762

  MI

  Medicare reassignment Care Compare group NPD
• Maan Ekkah MD PC

  • General Practice Physician
  • White Lake, MI
  • NPI 1114484540
  Medicare reassignment NPD
• Mercy Hospitalists, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Bloomfield Hills, MI
  • NPI 1790340958
  Medicare reassignment NPD
• Hospital Health Care Inc.

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1609970359
  NPD (past)
• Naila Ahmad MD PLC

  • Family Medicine Physician
  • Waterford, MI
  • NPI 1326107632
  NPD (past)
• Telemed Consultants PLLC

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1699398347
  NPD (past)

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

• St Joseph Mercy Hospital-SMHC

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1598364911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 N SAGINAW ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415023",
            "telephone_number": "248-858-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "BRIAHNNON",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704272824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lisowski, LLMSW
• Haiyan Liu
• Leah Liu
• Liza Serenity Care, L.L.C.
• Teresa Ibeth Lomeli
• Clay Loomis, MPH
• Alma Edeleni Lopez
• Christopher Lopez, AGACNP-BC, ACNPC-AG
• Jacqueline L Lopez
• Jhonny Lopez, MD

• Nurse Practitioner in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.