Daniel W Brash, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4301049804 Issued in MI

Practice address

3800 Hollywood Rd
Suite 104
Saint Joseph, MI 49085-8510

Phone

(269) 428-0819

Fax

(269) 428-0841

NPI assigned

Sep 28, 2006

Last updated

Dec 15, 2009By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Lake Michigan Nephrology, L.L.C

  • Specialist
  • Saint Joseph, MI
  • NPI 1821201500
  Authorized official Same address or phone
• Niles Professional Services, Inc

  • Internal Medicine Physician
  • Niles, MI
  • NPI 1568407930
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1649362799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD",
            "address_2": "SUITE 104",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858510",
            "telephone_number": "269-428-0819",
            "fax_number": "269-428-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD",
            "address_2": "SUITE 104",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858510",
            "telephone_number": "269-428-0819",
            "fax_number": "269-428-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASH",
        "first_name": "DANIEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301049804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4382000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "110A110400",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick William Born, D.O.
• Daniel Davis Bosis Jr., M.D.
• Rebekah Elisabeth-Carradine Boulanger
• James Daniel Bozyk II, PA
• Michelle E Branch, CMA
• Kelly M Brash, MD
• Julie M. Brawer, CNP
• Jaimi L Bray, MA, LPC
• Brian T Doyle MD PLC
• Bright Hope Counseling Center, PLLC

• Nephrology Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.