Deon D Middlebrook M D PC

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

DM053010 Issued in MI

Legal business name

DEON D MIDDLEBROOK M D PC

Practice address

20176 Livernois Ave
Detroit, MI 48221-1346

Phone

(313) 864-3000

Fax

(313) 864-5423

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Deon MiddlebrookNPI 1508898123

Title

President

Phone

(313) 864-7000

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16674/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deon David Middlebrook, MD

  • Nephrology Physician
  • Detroit, MI
  • NPI 1508898123

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Lisa Renee Reeves, MD

  • Specialist
  • Detroit, MI
  • NPI 1568494185

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Abdul R Effendi, MD

  • Nephrology Physician
  • Roseville, MI
  • NPI 1881647584
  NPD (past)
• Vinod Goyal, MD

  • Nephrology Physician
  • Detroit, MI
  • NPI 1669446050
  NPD (past)
• Boniface Atakekor Tubie, M.D.

  • Nephrology Physician
  • Southfield, MI
  • NPI 1821144577

  Internal Medicine

  NPD (past)
• Satish Kumar Bankuru, MD

  • Nephrology Physician
  • Colonial Heights, VA
  • NPI 1750331732
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1689885535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20176 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211346",
            "telephone_number": "313-864-7000",
            "fax_number": "313-864-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20176 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211346",
            "telephone_number": "313-864-3000",
            "fax_number": "313-864-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEON D MIDDLEBROOK M D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "MIDDLEBROOK",
        "authorized_official_first_name": "DEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-864-7000"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "MI",
            "license": "DM053010",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentistryone of Michigan PC
• Sara A Denton, PHARM.D.
• Tiffany Marie Denton
• Abhinav Deol, MD
• Bibban Bant Kaur Deol, M.D.
• Kanika Deora
• Ralph Hechanova Depakakibo, RN
• Department of Veteran Affairs
• Eve Depascale
• Gabrielle Samantha Depaul, M.A., BCBA

• Ph.D. Medical Genetics in Detroit, MI
• Providers in Detroit, MI by specialty
• Ph.D. Medical Genetics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.