Shannon Brzak, NP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704323358 Issued in MI

Practice address

42557 Woodward Ave Ste 130
Bloomfield Hills, MI 48304-5206

Phone

(248) 454-1004

Fax

(833) 450-6345

NPI assigned

Oct 3, 2023

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbrzak3278781@direct.trinity-health.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.

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  Medicare reassignment NPD
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  • NPI 1326107632
  NPD (past)

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1891575106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42557 WOODWARD AVE STE 130",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045206",
            "telephone_number": "248-454-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42557 WOODWARD AVE STE 130",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045206",
            "telephone_number": "248-454-1004",
            "fax_number": "833-450-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZAK",
        "first_name": "SHANNON",
        "credential": "NP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704323358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah R. Brotsky, PSY.D.
• Julie Anne Brouhard, LMSW
• Elexus Beatrice Brown
• Christin Shavon Broyles, CPT
• Bruce H Macpherson MD PC
• Brooke Budd, RN
• Francis X Bujold II, MT,JD
• Burman & Zuckerbrod Ophthalmology Associates, P.C
• Dax Burrill, QBHP
• Buscemi Family Dentistry PC (Buscemi Family Dentistry)

• Family Nurse Practitioner in Bloomfield Hills, MI
• Providers in Bloomfield Hills, 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 Oct 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.