Individual provider Active NPI

Brian A Mason, MD

  • Maternal & Fetal Medicine Physician
  • Detroit, MI
National Provider Identifier
1952396780
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
4301061136 Issued in MI
Practice address
22151 Moross Rd
313
Detroit, MI 48236-2167
Phone
(313) 343-3494
Fax
(313) 343-4932
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 4301061136 MI Primary

Addresses

Primary practice location

22151 Moross Rd
313
Detroit, MI 48236-2167

Mailing address

43800 Garfield Rd
Clinton TWP, MI 48038-1136
Phone (313) 343-7374

Other identifiers 2

IdentifierTypeStateIssuer
5216541MedicaidMI
4204241MedicaidMI

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
I20051121000574 MI Practitioner - Obstetrics/Gynecology 4688693567 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Macomb-Oakland Hospital Maternal & Fetal Medicine CurrentSince Dec 12, 2023 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Apr 1, 2002 Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Dec 12, 2023 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Dec 12, 2023 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Health Providence Hospital Maternal & Fetal Medicine CurrentSince Dec 12, 2023 Accepting new patients
Henry Ford Health St. John Hospital Maternal & Fetal Medicine CurrentSince Apr 1, 2002 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Genesys Practice Partners Inc Past Accepting new patients

Locations

43800 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 228-4635

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

30055 Northwestern Hwy
Ste 235
Farmington Hills, MI 48334
Phone (248) 737-4600

1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600

1 Genesys Pkwy
Ste 1400
Grand Blanc, MI 48439

22151 Moross Rd
Ste 313
Grosse Pointe, MI 48236
Phone (313) 343-3494

22151 Moross Rd
Ste 320
Grosse Pointe Woods, MI 48236
Phone (313) 343-4690

22201 Moross Rd
Ste 370
Grosse Pointe Woods, MI 48236
Phone (313) 343-4585

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

11012 E 13 Mile Rd
Warren, MI 48093
Phone (586) 573-8890

11885 E 12 Mile Rd
Ste 202A
Warren, MI 48093
Phone (586) 582-7060

Interoperability endpoints

  • Direct secure messaging: bmason1140414@direct.hfhs.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1952396780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43800 GARFIELD RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381136",
            "telephone_number": "313-343-7374",
            "fax_number": "313-343-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22151 MOROSS RD",
            "address_2": "313",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362167",
            "telephone_number": "313-343-3494",
            "fax_number": "313-343-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "BRIAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MI",
            "license": "4301061136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5216541",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4204241",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.