Brian DO, FNP-C, RN, CNMT

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704321190 Issued in MI

Practice address

3150 Hallmark CT Ste 2
Saginaw, MI 48603-2173

Phone

(989) 793-4420

NPI assigned

Sep 23, 2021

Last updated

Sep 23, 2021By the provider in NPPES

Sex

Male

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elizabeth a Pensler DO PLLCGroup PAC ID 6305140880, 6 clinicians

Derek L Hill DO PLLCGroup PAC ID 4486973153, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bdo1081152@direct.hfhs.org

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.

• Derek L Hill DO PLLC

  dba Hill Orthopedics

  • Orthopaedic Surgery Physician
  • Ferndale, MI
  • NPI 1154710333
  Medicare reassignment Care Compare group NPD
• Elizabeth a Pensler DO PLLC

  dba Pensler Vein and Vascular Sugical Institute

  • Vascular Surgery Physician
  • Ferndale, MI
  • NPI 1255704805
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1881365377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HALLMARK CT STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032173",
            "telephone_number": "989-793-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HALLMARK CT STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032173",
            "telephone_number": "989-793-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "BRIAN",
        "credential": "FNP-C, RN, CNMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704321190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Dixon
• Michelle Dixon
• Todd Isreal Dixon, B.A.
• Mikelina Djekovic
• DND Transportation
• Pauline DO
• Natalie Michelle Doan, LLMSW
• Helen Lee Dodge
• Kaylea Doering, LMSW
• Kevin Doerzman

• Family Nurse Practitioner in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.