Brian Ledl, DNP, APRN, AGPCNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704276874 Issued in MI

Practice address

5285 Anthony Wayne Dr
Detroit, MI 48202-3947

Phone

(313) 577-5041

NPI assigned

Mar 2, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nursing Practice Corporation

  • Nurse Practitioner
  • Detroit, MI
  • NPI 1629616511
  NPD
• Nursing Practice Corporation

  • Nurse Practitioner
  • Detroit, MI
  • NPI 1023180106
  NPD (past)

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1639703473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 ANTHONY WAYNE DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023945",
            "telephone_number": "313-577-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5285 ANTHONY WAYNE DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023947",
            "telephone_number": "313-577-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDL",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "MI",
            "license": "4704276874",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MI",
            "license": "4704276874",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704276874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Latice Ledbetter, M.D.
• Karyn Alayne Ledbetter, M.D.
• Patricia Ann Ledeaux, LLP
• Anna Marie Ledgerwood, MD
• David M Ledgerwood, PHD
• Monica M. Lee-Griffith, M.D.
• Catrina Meshell Lee-Jackson
• Monique Lee-Myles, RN
• Alice Lee, DO
• Amari Lee

• Adult Health Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.

Verify at the official NPI Registry.