Individual provider Active NPI

Brett Jordan Malbin, M.D.

  • Ophthalmology Physician
  • Ann Arbor, MI
National Provider Identifier
1902256787
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5315076670 Issued in MI
Practice address
1000 Wall St
Ann Arbor, MI 48105-1912
Phone
(734) 764-4190
NPI assigned
Jun 13, 2016
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5315076670 MI Primary

Addresses

Primary practice location

1000 Wall St
Ann Arbor, MI 48105-1912

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200911000940 MI Practitioner - Ophthalmology 0749566818 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

4717 Saint Antoine St
Suite 300
Detroit, MI 48201-1423
Phone (313) 577-8900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5315076670MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Eye Physicians, PC Ophthalmology CurrentSince May 1, 2022 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
University Physician Group Ophthalmology CurrentSince May 20, 2020 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Jul 1, 2022 Accepting new patients
Regents of the University of Michigan Ophthalmology CurrentSince Jun 30, 2022 Accepting new patients
Regents of the University of Michigan CurrentSince Jun 30, 2022 Accepting new patients
University Physician Group Past Accepting new patients
Eastside Eye Physicians, PC Past Accepting new patients
Eastside Eye Physicians, PC Past Accepting new patients

Locations

1000 Wall St
Ann Arbor, MI 48105
Phone (734) 763-1415

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4717 Saint Antoine St
Detroit, MI 48201
Phone (313) 577-7614

4717 Saint Antoine St
Ste 300
Detroit, MI 48201
Phone (313) 577-8900

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

47100 Schoenherr Rd
Ste F
Shelby Township, MI 48315
Phone (586) 247-2020

25511 Little Mack Ave
Ste A
St Clr Shores, MI 48081
Phone (586) 774-2020

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

Interoperability endpoints

  • Direct secure messaging: bmalbin@eastsideeyeema.emadirect.md
  • Direct secure messaging: brett.malbin.1@19711.direct.athenahealth.com

Organizations & group practices 9

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.

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1902256787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WALL ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051912",
            "telephone_number": "734-764-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALBIN",
        "first_name": "BRETT",
        "middle_name": "JORDAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5315076670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.