Individual provider Active NPI

Brooke Nicole Brancato

  • Technician/Technologist
  • Warren, MI
National Provider Identifier
1851801401
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
Practice address
31201 Chicago Rd S Ste C202
Warren, MI 48093-5554
Phone
(248) 712-4381
Fax
(248) 712-4381
NPI assigned
Oct 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X Primary

Addresses

Primary practice location

31201 Chicago Rd S Ste C202
Warren, MI 48093-5554

Mailing address

22966 Englehardt St
Saint Clair Shores, MI 48080-2126
Phone (586) 859-1495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1851801401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22966 ENGLEHARDT ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802126",
            "telephone_number": "586-859-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S STE C202",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935554",
            "telephone_number": "248-712-4381",
            "fax_number": "248-712-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCATO",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.