Michael Philippe Brousseau, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G081370 Issued in CA

Practice address

120 S Spalding Dr
Suite 403
Beverly Hills, CA 90212-1800

Phone

(424) 239-2400

Fax

(424) 239-2403

NPI assigned

Jul 10, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 18, 2015 through May 18, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michael.brousseau.1@28513.direct.athenahealth.com

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.

• My Docs House Calls Inc.

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1851604870
  NPD (past) Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1891729281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR",
            "address_2": "SUITE 403",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121800",
            "telephone_number": "424-239-2400",
            "fax_number": "424-239-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR",
            "address_2": "SUITE 403",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121800",
            "telephone_number": "424-239-2400",
            "fax_number": "424-239-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSEAU",
        "first_name": "MICHAEL",
        "middle_name": "PHILIPPE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G081370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "CB234617",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Fagan Brooks, MA, MFT
• H Leon Brooks, MD
• Ivan Israel Brooks, M.D.
• Nicole Brooks, MFT
• Steven Nolan Brourman, M.D.
• Dina Brown, DINA BROWN
• Jack I. Brown, D.D.S.
• Jeffrey P Brown, M.D.
• Michael Brown, ASW
• Rebecca Brown, M.D.

• Internal Medicine Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.