Active NPI
Brunsons Specialty Group
- General Practice Physician
- Eastpointe, MI
National Provider Identifier
1902767932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.