Lacesha Brintley, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

LB074975 Issued in MI

Practice address

2617 W Grand Blvd
Detroit, MI 48208-1234

Phone

(734) 464-3400

Fax

(734) 464-4550

NPI assigned

Mar 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

General Surgery

Education

University of Michigan Medical School, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
• Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbrintley1118804@direct.hfhs.org
• Direct secure messaging: lbrintle@direct.dmc.org

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.

• L Brintley MD PLLC

  • Surgery Physician
  • Detroit, MI
  • NPI 1801947239
  Medicare reassignment NPD Authorized official
• Delphine Home Aide Services LLC

  • Home Health Aide
  • Detroit, MI
  • NPI 1912759192
  NPD Authorized official
• Ascension Macomb Oakland Hospital

  • Ophthalmology Physician
  • Madison Heights, MI
  • NPI 1114962461
  NPD (past)
• Lorenzo Ferguson MD PC

  • Specialist
  • Southfield, MI
  • NPI 1770897290
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare affiliation
• VHS Sinai-Grace Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1760794044
  Care Compare affiliation

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1942278320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081234",
            "telephone_number": "734-464-3400",
            "fax_number": "734-464-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081234",
            "telephone_number": "734-464-3400",
            "fax_number": "734-464-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINTLEY",
        "first_name": "LACESHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301074975",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "LB074975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4609491 10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "200953465",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Brinker, RN
• Andreina Brinkley
• Angela Indigo Davis Brinkley, MPH RD
• Heidi L Brinkley
• Alexis Chantel Brintley
• Hailey Briscoe
• Laurence E Briski, MD
• Beverly-Jean Brisko, CRNA
• Jorvon Brison Sr.
• Britam Pharmacy LLC

• Surgery Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.