Brenda Marie Coughlin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301066408 Issued in MI

Practice address

1522 Janes Ave
Saginaw, MI 48601-1819

Phone

(989) 755-1316

Fax

(989) 755-0956

NPI assigned

Oct 6, 2005

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

Other identifiers 15

Other names 1

• Brenda Marie Weber Other name

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Virginia School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Lakes Bay Health CentersGroup PAC ID 2466369046, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
• Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: brenda.coughlin@direct.medfusion.com
• Direct secure messaging: brenda.coughlin.1@27771.direct.athenahealth.com

All facility ownership & control disclosures 28

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 30

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Great Lakes Bay Health Centers

  dba Great Lakes Bay Health Centers Downtown Dental

  • Federally Qualified Health Center (FQHC)
  • Saginaw, MI
  • NPI 1063530848

  Corporate Officer

  CMS ownership
• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Bridgeport, MI
  • NPI 1073169835

  W-2 Managing Employee

  CMS ownership
• Great Lakes Bay Health Centers

  dba Great Lakes Bay Health Centers Bay City Central

  • Federally Qualified Health Center (FQHC)
  • Bay City, MI
  • NPI 1093570293

  W-2 Managing Employee

  CMS ownership
• Great Lakes Bay Health Centers

  dba Great Lakes Bay Health Centers Integrated Care Shiawassee

  • Federally Qualified Health Center (FQHC)
  • Owosso, MI
  • NPI 1134491202

  W-2 Managing Employee

  CMS ownership
• Great Lakes Bay Health Centers

  dba GLBHC Respiratory Clinic

  • Federally Qualified Health Center (FQHC)
  • Saginaw, MI
  • NPI 1154920817

  Corporate Officer

  CMS ownership
• Great Lakes Bay Health Centers

  dba Great Lakes Bay Health Centers Shiawassee

  • Federally Qualified Health Center (FQHC)
  • Owosso, MI
  • NPI 1184054892

  W-2 Managing Employee

  CMS ownership
• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Bridgeport, MI
  • NPI 1215055306

  W-2 Managing Employee

  CMS ownership
• Great Lakes Bay Health Centers

  dba Great Lakes Bay Health Centers Inegrated Care Saginaw

  • Federally Qualified Health Center (FQHC)
  • Saginaw, MI
  • NPI 1235483900

  Corporate Director, W-2 Managing Employee

  CMS ownership
• Great Lakes Bay Health Centers

  dba Great Lakes Bay Health Centers TRI-CAP

  • Federally Qualified Health Center (FQHC)
  • Saginaw, MI
  • NPI 1235750571

  W-2 Managing Employee

  CMS ownership
• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Bay City, MI
  • NPI 1275003766

  W-2 Managing Employee

  CMS ownership
• Great Lakes Bay Health Centers

  dba Great Lakes Bay Health CentersWomen's Care West Branch

  • Federally Qualified Health Center (FQHC)
  • West Branch, MI
  • NPI 1275922411

  W-2 Managing Employee

  CMS ownership
• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saginaw, MI
  • NPI 1336267111

  Corporate Director, W-2 Managing Employee

  CMS ownership

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.

• Great Lakes Bay Health Centers

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
  • NPI 1871684761
  Medicare reassignment Care Compare group
• Great Lakes Bay Health Centers

  dba Great Lakes Bay Health Centers Pharmacy Saginaw

  • Community/Retail Pharmacy
  • Saginaw, MI
  • NPI 1164502803
  Authorized official Same address or phone

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

• Covenant Medical Center, Inc.

  dba Covenant Healthcare

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  Care Compare affiliation
• Mymichigan Medical Center Saginaw

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1871507509
  Care Compare affiliation

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1609864495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAPEER",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071208",
            "telephone_number": "989-759-6464",
            "fax_number": "989-399-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 JANES AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486011819",
            "telephone_number": "989-755-1316",
            "fax_number": "989-755-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "BRENDA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301066408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1010620",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CHOICE OF MI",
            "identifier": "106",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS OF MICHIGAN",
            "identifier": "0983671",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "122817",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609864495",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTH CARE OF MI",
            "identifier": "3500576",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080130736",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE PPO",
            "identifier": "1010620",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "381908328",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5380695",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "381908328",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "381908328",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "080G310660",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "080G310660",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCAP",
            "identifier": "381908328",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brenda.coughlin@direct.medfusion.com",
            "affiliation": "N",
            "address_1": "1522 Janes Ave",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486011819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "WEBER",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mario Costello
• Lindsay Cote, FNP-C
• William John Cottrell Jr., CRNA
• William John Cottrell III, D.P.M.
• Demartez Lamar Couch
• Mary Lynn Coughlin, PT
• Caitlin Reilly Coulter
• Mackenzie Alyse Coulter, B.A.A
• Counseling Education Center
• Krystal C Counterman, OTRL

• Family Medicine Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.