NPIMap

Individual provider Active NPI

Brittany Kirstin Phala, MD

  • Family Medicine Physician
  • Bay City, MI
National Provider Identifier
1922528512
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301502581 Issued in MI
Practice address
4040 N Euclid Ave Ste B
Bay City, MI 48706-2493
Phone
(989) 671-9153
Fax
(989) 671-9253
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301502581 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4040 N Euclid Ave Ste B
Bay City, MI 48706-2493

Mailing address

4040 N Euclid Ave Ste B
Bay City, MI 48706-2493
Phone (989) 671-9153

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL brittanyphal@smomsjhs.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200702000737 MI Practitioner - Family Practice 6608140538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians

Practice addresses (Care Compare)

4040 N Euclid Ave
Suite B
Bay City, MI 48706-2493
Phone (989) 671-9153

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301502581MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw CurrentSince Aug 3, 2020 Accepting new patients
Mymichigan Medical Center Saginaw Family Medicine CurrentSince Aug 3, 2020 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

4040 N Euclid Ave
Ste B
Bay City, MI 48706
Phone (989) 671-9153

4040 N Euclid Ave
Bay City, MI 48706
Phone (989) 671-9153

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

Interoperability endpoints

  • Direct secure messaging: brittany.phala.1@11016.direct.athenahealth.com
  • Direct secure messaging: bphala127732@mymichiganhealth.midirect.net

Organizations & group practices 3

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 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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1922528512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 N EUCLID AVE STE B",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062493",
            "telephone_number": "989-671-9153",
            "fax_number": "989-671-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 N EUCLID AVE STE B",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062493",
            "telephone_number": "989-671-9153",
            "fax_number": "989-671-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHALA",
        "first_name": "BRITTANY",
        "middle_name": "KIRSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301502581",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "brittanyphal@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4040 N Euclid Ave Ste B",
            "city": "Bay City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487062493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.