Brenda R Fortunate, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101008905 Issued in MI

Practice address

2462 E Hill Rd
Suite 1
Grand Blanc, MI 48439-5064

Phone

(810) 695-1234

Fax

(810) 603-3182

NPI assigned

Sep 2, 2006

Last updated

Nov 21, 2011By the provider in NPPES

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

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

Michigan State University College of Osteopathic Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Health Genesys HospitalGroup PAC ID 2062323033, 85 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bfortunate1127051@direct.hfhs.org
• FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

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.

• Henry Ford Health Genesys Hospital

  dba Downtown Health Center-Podiatry

  • Podiatrist
  • Flint, MI
  • NPI 1528283033
  Medicare reassignment Care Compare group NPD
• Genesys Practice Partners Inc

  • Family Medicine Physician
  • Grand Blanc, MI
  • NPI 1982647004
  Medicare reassignment NPD
• Ascension Genesys Hospital

  dba Ascension Genesys Short Term Rehabilitation Center

  • Skilled Nursing Facility
  • Grand Blanc, MI
  • NPI 1093125312
  NPD
• Genesys Practice Partners Inc

  dba Henry Ford Genesys Group

  • Family Medicine Physician
  • Grand Blanc, MI
  • NPI 1194774752
  NPD
• Genesys Practice Partners, Inc

  dba Gensys Inpatient Psychiatry

  • Psychiatry Physician
  • Grand Blanc, MI
  • NPI 1336842160
  NPD
• Henry Ford Health Genesys Hospital

  dba Genesys Downtown-Surgery

  • Surgery Physician
  • Flint, MI
  • NPI 1598982837
  NPD

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1760584593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2462 E HILL RD",
            "address_2": "STE 1",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395427",
            "telephone_number": "810-695-1234",
            "fax_number": "810-603-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 E HILL RD",
            "address_2": "SUITE 1",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395064",
            "telephone_number": "810-695-1234",
            "fax_number": "810-603-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNATE",
        "first_name": "BRENDA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Edward Ford, DO
• Peggy Marcile Ford
• Susan Ford
• James Dwight Forshee, M.D, MBA
• Fortitude Children's Therapy, LLC
• Ashlie Marie Foster
• Sam Francis, LBA
• Valorie Ann Frank
• Brianne Frankini
• Jessica Frederick, MS, OTRL

• Family Medicine Physician in Grand Blanc, MI
• Providers in Grand Blanc, 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 Nov 21, 2011; 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.
• 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.