Individual provider Active NPI

Bradley J Garrett, DO

  • Emergency Medicine Physician
  • Eaton Rapids, MI
National Provider Identifier
1942267778
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO25658 Issued in OR
Practice address
1500 S Main St
Eaton Rapids, MI 48827-1952
Phone
(517) 663-9555
NPI assigned
Apr 26, 2006
Last updated
Feb 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO25658 OR Primary
Emergency Medicine Physician 207P00000X 5101015114 MI

Addresses

Primary practice location

1500 S Main St
Eaton Rapids, MI 48827-1952

Mailing address

1031 E Saginaw St
Lansing, MI 48906-5519
Phone (517) 487-1288

Other identifiers 3

IdentifierTypeStateIssuer
807243600MedicaidID
278127MedicaidOR
P00277345OtherRR MEDICARE

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
I20081209000596 MI Practitioner - Emergency Medicine 9739113093 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparrow Carson HospitalGroup PAC ID 7113836701, 63 clinicians
Sparrow Clinton HospitalGroup PAC ID 5395658850, shared by 3 NPIs, 23 clinicians

Practice addresses (Care Compare)

406 E Elm St
Carson City, MI 48811-9693
Phone (517) 584-3131

805 S Oakland St
Clinton Erd
St Johns, MI 48879-2253
Phone (989) 227-3400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101015114MIMDEmergency Medicine Physician
DO25658ORMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Carson Hospital CurrentSince Feb 1, 2022 Accepting new patients
Sparrow Clinton Hospital Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2013 Accepting new patients
Sparrow Clinton Hospital CurrentSince May 1, 2015 Accepting new patients
Sparrow Clinton Hospital Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Jul 1, 2013 Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Carson Hospital Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1942267778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 E SAGINAW ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489065519",
            "telephone_number": "517-487-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488271952",
            "telephone_number": "517-663-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "DO25658",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101015114",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807243600",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278127",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00277345",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton Rapids, MI

Sources for this page

Verify at the official NPI Registry.