Individual provider Active NPI

Brian Dugas, MD

  • Emergency Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1790739936
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301070399 Issued in MI
Practice address
6515 Stellhorn Rd
Fort Wayne, IN 46815-5436
Phone
(260) 458-3212
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01092757A IN
Emergency Medicine Physician 207P00000X 4301070399 MI Primary

Addresses

Primary practice location

6515 Stellhorn Rd
Fort Wayne, IN 46815-5436

Mailing address

18161 W 13 Mile Rd
Suite a-2
Southfield, MI 48076-1113
Phone (248) 642-9893

Other practice location 1

18161 W 13 Mile Rd
Suite A-2
Southfield, MI 48076-1113
Phone (248) 642-9893

Other identifiers 1

IdentifierTypeStateIssuer
008089MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050117000486 MI Practitioner - Emergency Medicine 8022067008 Reassigns benefits to 5 organizations
I20240327001983 IN Practitioner - Emergency Medicine 8022067008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

Practice addresses (Care Compare)

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

Hospital & facility affiliations

  • McLaren Flint Hospital, Flint, MI, CCN 230141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01092757AINMDEmergency Medicine Physician
4301070399MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Jan 1, 2013 Accepting new patients
Lake Michigan Observation Services PLLC CurrentSince Apr 1, 2022 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Lake Michigan Emergency Specialists, PLLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
McLaren Hospital Group Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients

Locations

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000

6515 Stellhorn Rd
Fort Wayne, IN 46815
Phone (260) 435-7001

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

17717 Masonic
Fraser, MI 48026
Phone (586) 294-0600

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

72 S State St
Shelby, MI 49455
Phone (231) 728-4601

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1790739936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 W 13 MILE RD",
            "address_2": "SUITE A-2",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761113",
            "telephone_number": "248-642-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 STELLHORN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155436",
            "telephone_number": "260-458-3212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18161 W 13 Mile Rd",
            "address_2": "Suite A-2",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480761113",
            "country_code": "US",
            "telephone_number": "248-642-9893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGAS",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01092757A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301070399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008089",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.