Individual provider Active NPI

Brannon NC Alexander, PA

  • Physician Assistant
  • Farmington Hills, MI
National Provider Identifier
1598978256
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004303 Issued in MI
Practice address
32255 Northwestern Hwy
Suite 180
Farmington Hills, MI 48334-1566
Phone
(248) 355-0080
Fax
(248) 355-9232
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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 5601004303 MI Primary

Addresses

Primary practice location

32255 Northwestern Hwy
Suite 180
Farmington Hills, MI 48334-1566

Mailing address

32255 Northwestern Hwy
Suite 180
Farmington Hills, MI 48334-1566
Phone (248) 355-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601004303MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brannonalexander@premierinternists.directglo.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1598978256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY",
            "address_2": "SUITE 180",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341566",
            "telephone_number": "248-355-0880",
            "fax_number": "248-355-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY",
            "address_2": "SUITE 180",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341566",
            "telephone_number": "248-355-0080",
            "fax_number": "248-355-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "BRANNON",
        "middle_name": "NC",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.