NPIMap

Individual provider Active NPI

Cody Andrew Brush, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clinton Township, MI
National Provider Identifier
1801259551
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002621 Issued in MI
Practice address
43391 Commons Dr
Clinton Township, MI 48038-1109
Phone
(586) 329-3895
Fax
(586) 329-3916
NPI assigned
Mar 31, 2016
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002621 MI Primary

Addresses

Primary practice location

43391 Commons Dr
Clinton Township, MI 48038-1109

Mailing address

43391 Commons Dr
Clinton Township, MI 48038-1109
Phone (586) 329-3895

Other practice location 1

15855 19 Mile Rd
Henry Ford Macomb Hospitals
Clinton Township, MI 48038-3504
Phone (586) 263-2950

Other practice location 2

15760 19 Mile Rd Ste E
Clinton Township, MI 48038-6319
Phone (586) 329-3895

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EPIC Health Information Exchange (HIE) Henry Ford Macomb Hospital Corporation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603002326 MI Practitioner - PodiatryPractitioner - Other (Physician) 8426341280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian G. Loder DPM PLCGroup PAC ID 5698823441, 2 clinicians

Practice addresses (Care Compare)

15760 19 Mile Rd
Clinton Township, MI 48038-6319
Phone (586) 329-3895

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue382
Removal of skin lesions1-10
Removal of nail tissue33
Removal or shaving of skin growth19
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System CurrentSince Nov 10, 2020 Accepting new patients
Brian G. Loder DPM PLC Foot & Ankle Surgery CurrentSince Jul 2, 2019 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System CurrentSince Nov 10, 2020 Accepting new patients
Henry Ford Macomb Hospital Corporation Past Accepting new patients

Locations

15760 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 329-3895

15760 19 Mile Rd
Ste E
Clinton Twp, MI 48038
Phone (586) 221-9112

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

43391 Commons Dr
Clinton Twp, MI 48038
Phone (586) 286-8677

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

14500 Hall Rd
Sterling Hts, MI 48313
Phone (586) 247-2700

Interoperability endpoints

  • Direct secure messaging: cbrush363611@direct.hfhs.org
  • FHIR API: https://fhir.hfhs.org/FHIRProxy/api/FHIR/R4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1801259551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43391 COMMONS DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381109",
            "telephone_number": "586-329-3895",
            "fax_number": "586-329-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43391 COMMONS DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381109",
            "telephone_number": "586-329-3895",
            "fax_number": "586-329-3916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15855 19 Mile Rd",
            "address_2": "Henry Ford Macomb Hospitals",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480383504",
            "country_code": "US",
            "telephone_number": "586-263-2950",
            "fax_number": "586-263-2975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15760 19 Mile Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480386319",
            "country_code": "US",
            "telephone_number": "586-329-3895",
            "fax_number": "586-329-3916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUSH",
        "first_name": "CODY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EPIC",
            "affiliation": "Y",
            "endpointDescription": "Epic",
            "affiliationName": "Henry Ford Macomb Hospital Corporation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15855 19 Mile Rd",
            "address_2": "Henry Ford Macomb Hospitals",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480383504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.