Individual provider Active NPI

Brittan Masters

  • Physician Assistant
  • Auburn Hills, MI
National Provider Identifier
1902174428
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006251 Issued in MI
Practice address
937 N Opdyke Rd
Auburn Hills, MI 48326-2641
Phone
(248) 373-7600
NPI assigned
Dec 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006251 MI Primary

Addresses

Primary practice location

937 N Opdyke Rd
Auburn Hills, MI 48326-2641

Mailing address

120 S Summit St
Morenci, MI 49256-1437
Phone (616) 901-1023

Other practice location 1

3380 44th St SW Ste 100
Grandville, MI 49418-2461
Phone (616) 410-7703

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120320000769 MI Practitioner - Physician Assistant 5496915985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

1471 E Beltline Ave NE
Suite 202
Grand Rapids, MI 49525-4548
Phone (616) 410-7701

2305 Genoa Bus Park Dr
Brighton, MI 48114-7005

3380 44TH St SW
Suite 100 Trinity Health Urgent Care Rivert
Grandville, MI 49418-2461
Phone (616) 410-7703

Hospital & facility affiliations

  • Mercy Health Saint Mary'S Hospital, Grand Rapids, MI, CCN 230059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601006251MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary'S Medical Group Physician Assistant CurrentSince Oct 1, 2016 Accepting new patients
Iha Health Services Corporation CurrentSince Oct 1, 2023 Accepting new patients
Iha Health Service Corporation CurrentSince Oct 1, 2023 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

3380 44th St SW
#100
Grandville, MI 49418
Phone (616) 233-3591

Interoperability endpoints

  • Direct secure messaging: bmasters44452@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1902174428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S SUMMIT ST",
            "city": "MORENCI",
            "state": "MI",
            "postal_code": "492561437",
            "telephone_number": "616-901-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 N OPDYKE RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262641",
            "telephone_number": "248-373-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3380 44th St SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Grandville",
            "state": "MI",
            "postal_code": "494182461",
            "country_code": "US",
            "telephone_number": "616-410-7703",
            "fax_number": "616-265-5189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "BRITTAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-12",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

Verify at the official NPI Registry.