Individual provider Active NPI

Roberto Brie

  • Family Nurse Practitioner
  • Ortonville, MI
National Provider Identifier
1669337382
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704346234 Issued in MI
Practice address
1051 Legault Blvd
Ortonville, MI 48462-9739
Phone
(248) 764-9685
NPI assigned
Dec 16, 2025
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 4704346234 MI Primary

Addresses

Primary practice location

1051 Legault Blvd
Ortonville, MI 48462-9739

Mailing address

1051 Legault Blvd
Ortonville, MI 48462-9739
Phone (248) 764-9685

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260121002399 MI Practitioner - Nurse Practitioner 4385121359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6020 W Pierson Rd
Flushing, MI 48433-2335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704346234MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Urgent Care PLC Single Specialty CurrentSince Jan 1, 2026 Accepting new patients

Locations

6020 W Pierson Rd
Flushing, MI 48433
Phone (810) 407-7989

8143 S Saginaw St
Grand Blanc, MI 48439
Phone (810) 214-4942

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": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1669337382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 LEGAULT BLVD",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484629739",
            "telephone_number": "248-764-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 LEGAULT BLVD",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484629739",
            "telephone_number": "248-764-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIE",
        "first_name": "ROBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704346234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ortonville, MI

Sources for this page

Verify at the official NPI Registry.