Organization Active NPI

Brunsons Specialty Group

  • General Practice Physician
  • Eastpointe, MI
National Provider Identifier
1902767932
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BRUNSONS SPECIALTY GROUP
Practice address
17200 E 10 Mile Rd Ste 195
Eastpointe, MI 48021-3355
Phone
(586) 859-7255
Fax
(586) 859-7256
NPI assigned
Nov 19, 2025
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Anthony Gary
Title
Owner
Phone
(313) 646-5180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

17200 E 10 Mile Rd Ste 195
Eastpointe, MI 48021-3355

Mailing address

17200 E 10 Mile Rd Ste 195
Eastpointe, MI 48021-3355
Phone (586) 859-7255

National Provider Directory

National Provider Directory

Locations

17200 E 10 Mile Rd
Ste 195
Eastpointe, MI 48021
Phone (586) 859-7255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1902767932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 E 10 MILE RD STE 195",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213355",
            "telephone_number": "586-859-7255",
            "fax_number": "586-859-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 E 10 MILE RD STE 195",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213355",
            "telephone_number": "586-859-7255",
            "fax_number": "586-859-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSONS SPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "GARY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-646-5180"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.