Individual provider Active NPI

Brian G Gilbert, NURSE PRACTITIONER

  • Nurse Practitioner
  • Port Huron, MI
National Provider Identifier
1902415193
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704272809 Issued in MI
Practice address
1217 Kearney St Ste 1
Port Huron, MI 48060-3571
Phone
(810) 982-2095
Fax
(810) 982-8513
NPI assigned
Jul 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704272809 MI Primary

Addresses

Primary practice location

1217 Kearney St Ste 1
Port Huron, MI 48060-3571

Mailing address

1217 Kearney St Ste 1
Port Huron, MI 48060-3571
Phone (810) 982-2095

Other practice location 1

3074 N US 31 S
Traverse City, MI 49684-4533
Phone (231) 929-1234

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
I20200903002797 MI Practitioner - Nurse Practitioner 1951728054 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Michigan Physician Services PCGroup PAC ID 0143730671, 66 clinicians
Grand Traverse Physician Services PCGroup PAC ID 2466963806, 119 clinicians
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians
Spectrum Health Primary Care PartnersGroup PAC ID 4587568647, 2,283 clinicians
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians
Wexford Physician Services PCGroup PAC ID 3072024330, 39 clinicians
Otsego Physician Services PCGroup PAC ID 7416468954, 35 clinicians

Practice addresses (Care Compare)

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

205 N E Ave
Jackson, MI 49201-1753

212 S Sullivan Ave
Corewell Health Medical Group West
Fremont, MI 49412-1548
Phone (616) 391-3139

2660 W Sugnet Rd
Mymichigan Cardiology
Midland, MI 48640-2647
Phone (989) 832-0900

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

5 Atkinson Dr
302 Corewell Health Medical Group West
Ludington, MI 49431-1906
Phone (616) 267-8700

615 S Bower St
Greenville, MI 48838-2614
Phone (616) 225-6522

7845 Spring Arbor Rd
Spring Arbor, MI 49283-9785
Phone (517) 205-2580

813 W Michigan Ave
Henry Ford Allegiance Osteoporosis Center
Jackson, MI 49202-4158
Phone (517) 205-1000

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Corewell Health Gerber Hospital Hospital, Fremont, MI, CCN 231338
  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Promed Healthcare CurrentSince Jan 22, 2025 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Oct 1, 2025 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Feb 23, 2023 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Nurse Practitioner CurrentSince Jan 1, 2021 Accepting new patients
Mymichigan Medical Group Current Accepting new patients
North Michigan Physician Services PC Nurse Practitioner CurrentSince Dec 10, 2025 Accepting new patients
Otsego Physician Services PC Nurse Practitioner CurrentSince Jul 7, 2025 Accepting new patients
Aaron K. Clark MD PC CurrentSince Sep 2, 2020 Accepting new patients
Grand Traverse Physician Services PC Nurse Practitioner CurrentSince Oct 24, 2025 Accepting new patients
W.a. Foote Memorial Hospital, Inc Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Munson Medical Center CurrentSince Jun 25, 2022 Accepting new patients
Munson Medical Center CurrentSince Jun 25, 2022 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Ascension Medical Group Promed CurrentSince Jan 22, 2025 Accepting new patients
Wa Foote Memorial Hospital, Inc Nurse Practitioner Current Accepting new patients
Mymichigan Medical Group CurrentSince Nov 28, 2021 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Wexford Physician Services PC Nurse Practitioner CurrentSince Nov 29, 2025 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Feb 23, 2023 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Feb 1, 2021 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Nov 28, 2021 Accepting new patients
Ascension Medical Group Promed Current Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients

Locations (25 of 26)

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

309 Page Ave
Jackson, MI 49201
Phone (517) 205-1234

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

2660 W Sugnet Rd
Midland, MI 48640
Phone (989) 488-5010

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1217 Kearney St
Ste 1
Port Huron, MI 48060
Phone (810) 982-2095

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

3074 US 31 S
Traverse City, MI 49684
Phone (231) 642-5419

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11879/brand/1/csg/1/fhir/r4

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 7

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": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1902415193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 KEARNEY ST STE 1",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603571",
            "telephone_number": "810-982-2095",
            "fax_number": "810-982-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 KEARNEY ST STE 1",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603571",
            "telephone_number": "810-982-2095",
            "fax_number": "810-982-8513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3074 N US 31 S",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496844533",
            "country_code": "US",
            "telephone_number": "231-929-1234",
            "fax_number": "231-935-0984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "BRIAN",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704272809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.