Active NPI
Brett Masserant
- Clinic/Center
- Auburn Hills, MI
National Provider Identifier
1609537448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Practice address
- 3425 Five Points Dr
Auburn Hills, MI 48326-2341 - Phone
- (586) 604-6801
- NPI assigned
- Jan 4, 2022
- Last updated
- Jan 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
3425 Five Points Dr
Auburn Hills, MI 48326-2341
Mailing address
13433 Hall Road, Utica Mi 48315
Utica, MI 48315
Phone (586) 604-6801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bam Management | Clinic/Center | Current | Accepting new patients |
Locations
13433 Hall Rd
Utica, MI 48315
Phone (844) 422-6648
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1609537448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13433 HALL ROAD, UTICA MI 48315",
"city": "UTICA",
"state": "MI",
"postal_code": "48315",
"telephone_number": "586-604-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 FIVE POINTS DR",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483262341",
"telephone_number": "586-604-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSERANT",
"first_name": "BRETT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-04",
"last_updated": "2022-01-04",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.