Organization Active NPI

Colleen D. Browne DO PC

Doing business as Colleen D. Landino

  • Family Medicine Physician
  • Flat Rock, MI
National Provider Identifier
1952058471
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COLLEEN D. BROWNE DO PC
Doing business as
Colleen D. Landino
Practice address
25620 Gibraltar Rd
Flat Rock, MI 48134-1243
Phone
(734) 789-9355
Fax
(734) 789-1520
NPI assigned
Mar 4, 2022
Last updated
Jul 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Colleen Browne, DONPI 1780777482
Title
Owner
Phone
(734) 789-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

25620 Gibraltar Rd
Flat Rock, MI 48134-1243

Mailing address

25620 Gibraltar Rd
Flat Rock, MI 48134-1243
Phone (734) 789-9355

Other identifiers 1

IdentifierTypeStateIssuer
1780777482MedicaidMI

Other names 1

  • Colleen D. Landino Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Athena Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220829003336 MI Part B Supplier - Clinic/Group Practice 3678957339 Receives reassigned benefits from 1 practitioner
Practice locations: Flat Rock, MI

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23604/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1952058471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25620 GIBRALTAR RD",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341243",
            "telephone_number": "734-789-9355",
            "fax_number": "734-789-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25620 GIBRALTAR RD",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341243",
            "telephone_number": "734-789-9355",
            "fax_number": "734-789-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN D. BROWNE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "BROWNE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-789-9355",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780777482",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "endpointDescription": "Colleen Browne",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Flat Rock",
            "address_1": "25620 Gibraltar Rd",
            "city": "Flat Rock",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481341243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Colleen D. Landino",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colleen D. Landino",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flat Rock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.